Device Removal

Surgical rescue of guidewire in-stent entrapment during coronary angioplasty

During a percutaneous coronary procedure, the device may become stuck and break in the coronary circulation. This complication occurs in 0.1% of all procedures. Even with technological improvements, this event still happens because percutaneous coronary interventions are frequently used to treat complex lesions. We report a case of a patient undergoing a percutaneous stenting procedure in which the 0.014″ guidewire was caught in the right coronary artery. Removal of the guidewire was impossible, and it broke in the brachiocephalic artery.

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