Why the study?
This report reviews procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery when guidewire entrapment and fracture occur during PCI.
This case highlights the rare but severe complication of guidewire entrapment and fracture during PCI, emphasizing the importance of proper retrieval techniques to avoid the need for emergent bypass surgery.
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Clinicians should exercise caution during complex PCI retrieval; this Level 5 case leaves optimal prevention and bailout strategies open.
A 55-year-old man presented with chest pain and was diagnosed with non-ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery.
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Sharma et al. (2023) studied this question.
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