Case report demonstrates successful retrieval of a fractured guiding catheter in the ascending aorta, suggesting new techniques may enhance procedural safety.
Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.
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Chua et al. (2025) studied this question.
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