Key result
A 2.1Fr Tornus catheter successfully retrieves an entrapped guidewire in severely calcified PCI.
Why the study?
Entrapment of a guidewire during PCI in severe calcified stenotic lesions is a rare but life-threatening complication requiring effective rescue techniques.
Case Report (n=1)
May offer bailout for guidewire entrapment in calcified lesions; hypothesis-generating and requires prospective validation before broader use.
Entrapment of a guidewire is a rare event, but it could happen especially in severe calcified stenotic lesion. This complication is life-threatening because it can lead to myocardial ischemia, infarction, or lethal arrhythmia due to intracoronary thrombosis. In the event of failed retrieval and persistent signs of ischemia, patients should be urgently referred to surgery. During percutaneous coronary intervention, the Tornus catheter has been applied to patients with severe coronary artery disease when balloon catheter or microcatheter cannot be crossed across the lesion after successful wire crossing. This is a case of a patient that a Tornus catheter rescued an entrapped guidewire in severe calcified coronary disease.
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Cho et al. (2007) conducted a case report in Entrapped guidewire in severe coronary artery disease (n=1). Tornus catheter was evaluated on Retrieval of entrapped guidewire. A 2.1Fr Tornus catheter successfully rescued an entrapped guidewire in a severely calcified coronary lesion during percutaneous coronary intervention.
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