The successful retrieval of a broken guide wire from the diagonal branch of the left anterior descending coronary artery complicated by partial stent rolling
نویسندگان
چکیده
Percutaneous coronary interventions (PCIs) are relatively safe, and the complication rate is low in comparison to cardiac surgery revascularization. The incidence of broken or retained PCI equipment is about 0.1–0.8% [1]. We report a successful retrieval of a fractured guide wire by using a percutaneous catheter Amplatz GooseNeck Snare and Microsnare Kit (Covidien, Plymouth, USA), which was complicated by stent deformation in the form of rolling up its distal part after retracting a piece of the guide wire. This artificial damage to the implanted stent was initially ineffectively treated with balloon angioplasty and finally successfully with double drug-eluting stent (DES) deployment.
منابع مشابه
Wondering PTCA Wire: Retrieval by Tangling Technique
A 38-year-old man underwent coronary angiography in our institution due to acute myocardial infarction as part of pharmaco-invasive strategy following thrombolysis. The patient showed total occlusion of mid left anterior descending (LAD) artery which was tortuous and calcified. The planned treatment was percutaneous coronary intervention (PCI) of culprit artery with wire being "jailed" in obtus...
متن کاملComplex made easy: left anterior descending artery trifurcation lesion completely treated with a single device.
Coronary trifurcation lesions are a complex subset of lesions. We present a case of a percutaneous intervention of a trifurcation lesion involving the left anterior descending artery and 2 diagonal branches completely treated with one single device, the novel stent-on-a-wire (SOAW) (Svelte Medical Systems), for the whole procedure. The SOAW is an all-in-one device with a bare cobalt-chrome sten...
متن کاملTwo dislodged and crushed coronary stents: treatment of two simultaneously dislodged stents using crushing techniques
Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a rare case of dislodgement of two intracoronary stents. On withdrawal of two balloon catheters, one with a guide wire was mechanically distorted from the left main (LM) to the proximal left anterior descending artery (LAD) while the other was dislodged from the LM to the ostial left circumflex a...
متن کاملManagement of a large coronary artery aneurysm with graft-coated stent during the acute phase of myocardial infarction
Coronary aneurysms in adults are rare clinical entities. Herein, we presented a 54-year-old man who was admitted with an acute extensive anterior myocardial infarction. The emergency coronary angiography revealed an isolated large aneurysm at the proximal segment of the left anterior descending coronary artery. The patient was successfully treated with a graft-coated stent
متن کاملSuccessful percutaneous coronary intervention in the setting of an aberrant left coronary artery arising from the right coronary cusp in a patient with acute coronary syndrome: a case report
BACKGROUND An aberrant origin of the left coronary artery (LCA) from the right coronary cusp (RCC) is an extremely rare congenital anomaly. We here report on successful percutaneous coronary intervention (PCI) in a patient presenting with acute coronary syndrome and an aberrant origin of the LCA from the RCC. CASE PRESENTATION A 50-year-old man presented at our emergency department with recur...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2016