What question did this study set out to answer?

To evaluate a new multiwire technique for retrieving an entrapped guidewire beneath a deployed coronary stent.

July 4, 2026Open Access

A Bailout Multiwire Technique for Retrieval of a Deployed Coronary Stent Entrapping a Guidewire

Key Points

To evaluate a new multiwire technique for retrieving an entrapped guidewire beneath a deployed coronary stent.
Patient underwent percutaneous coronary intervention for severe calcified left main artery disease
Developed a bailout strategy using multiple guidewires for entrapment extraction
Analysis of case summary highlights the success of the retrieval technique
Conventional retrieval methods failed but the multiwire technique successfully extracted the stent
The approach allows for safe handling in high-risk scenarios during PCI

Abstract

BACKGROUND: Guidewire entrapment during percutaneous coronary intervention (PCI) is a rare but potentially life-threatening complication. Retrieval becomes particularly challenging when the guidewire is trapped beneath a deployed stent. CASE SUMMARY: A 72-year-old man with severe calcified left main artery disease underwent PCI. During stent deployment from the left main to the left anterior descending artery, a guidewire in the left circumflex artery became entrapped beneath the stent. After conventional retrieval techniques failed, a bailout strategy using multiple guidewires to entangle and extract the deployed stent was successfully performed. DISCUSSION: In selected high-risk scenarios, percutaneous retrieval of a deployed stent using a multiwire entanglement technique may be considered when conventional methods fail. TAKE-HOME MESSAGES: Maintaining a high index of recognition for guidewire entrapment is essential throughout the procedure of PCI. Intentional coronary stent retrieval via a multiwire entanglement technique may serve as a feasible bailout strategy for entrapped guidewires.

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