[Surgical Removal of a Fractured Guide Wire for Coronary Angioplasty and Coronary Artery Bypass Grafting:Report of a Case]

Autor: Tatsuto, Wakami, Naoto, Fukunaga, Akio, Shimoji, Toshi, Maeda, Otohime, Mori, Kosuke, Yoshizawa, Tatsuji, Okada, Nobushige, Tamura
Rok vydání: 2022
Předmět:
Zdroj: Kyobu geka. The Japanese journal of thoracic surgery. 75(6)
ISSN: 0021-5252
Popis: Guide wire fracture is a rare, yet potentially life-threatening complication of percutaneous coronary intervention. A 65-years old man underwent emergent coronary angioplasty for myocardial ischemia. Percutaneous coronary intervention for the residual lesions of left anterior descending artery (LAD) was planned. The protection guide wire for left circumflex artery( LCx) was entangled in the stent in LAD. Despite many attempts, the wire could not be retrieved. Finally, the wire was fractured and the stent in LAD was deformed. The patient was sent to our service to remove the fractured wire. We performed urgent removal of the guide wire and coronary artery bypass grafting( CABG). The postoperative course was uneventful. The timing of surgical removal of the guide wire and the indication for coronary artery reconstruction should be discussed by heart team.
Databáze: OpenAIRE