Key result
Side-branch wire entrapment during bifurcation PCI was successfully managed using a goose-neck snare and balloon inflations, resulting in a satisfactory one-year angiographic outcome.
Highlights the management of side-branch wire entrapment during bifurcation PCI using a goose-neck snare.
Single-case snare retrieval success warrants no practice change; leaves open systematic evaluation of bailout techniques in bifurcation PCI.
An LAD/D1 bifurcation intervention was complicated by side-branch wire entrapment and unravelling requiring goose-neck snare removal. Residual microfilaments were retrieved from the main branch after further balloon inflations with a satisfactory final angiographic result and one-year follow-up. Various methods are available to avoid and deal with this complication.
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Burns et al. (2009) studied this question. Side-branch wire entrapment during bifurcation PCI was successfully managed using a goose-neck snare and balloon inflations, resulting in a satisfactory one-year angiographic outcome.
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