Key result
A wire and balloon catheter wrap technique was utilized to retrieve a fractured jailed side branch wire following provisional stenting for a bifurcation stenosis.
Case Report (n=1)
The wire and balloon catheter wrap technique is a viable percutaneous option for retrieving a fractured jailed side branch wire during bifurcation stenting.
May facilitate percutaneous retrieval of fractured jailed wires in bifurcation stenting; leaves open prospective validation before routine use.
BACKGROUND: A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis. INVESTIGATIONS: Coronary angiography, intravascular ultrasound. DIAGNOSIS: Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire. TREATMENT: Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
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Owens et al. (2011) conducted a case report in LAD/D1 bifurcation stenosis, fractured jailed side branch wire (n=1). Wire and balloon catheter wrap technique was evaluated on Retrieval of fractured wire. A wire and balloon catheter wrap technique was utilized to retrieve a fractured jailed side branch wire following provisional stenting for a bifurcation stenosis.
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