Kim Jang-Young, Yoon Junghan, Jung Hyun-Sook, Kim Woo-Jea, Yoo Byung-Su, Lee Seung-Hwan, Choi Kyung-Hoon
Division of Cardiology, Department of Medicine, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju 220-701, Korea.
Yonsei Med J. 2005 Feb 28;46(1):166-8. doi: 10.3349/ymj.2005.46.1.166.
A case in which a 0.014" wire was broken during the sheath placement in the radial artery for transradial coronary procedure is described here, and a successful retrieval of it using conventional methods is also described. Through the left femoral artery, the 6 Fr guiding catheter was advanced down to the tip of the broken wire at the brachial artery, and the distal part of the broken guidewire was captivated into the guiding catheter. By inflating the balloon catheter inside of the guiding catheter, seized broken guidewire between the inflated balloon and the guiding catheter was removed successfully by withdrawing the whole system en bloc.
本文描述了一例在经桡动脉冠状动脉介入手术中，0.014英寸导丝在鞘管置入桡动脉过程中折断的病例，并介绍了使用传统方法成功取出折断导丝的过程。通过左股动脉将6F引导导管推进至肱动脉处折断导丝的尖端，将折断导丝的远端捕获到引导导管内。通过在引导导管内充盈球囊导管，通过整体撤回整个系统，成功地取出了充盈球囊与引导导管之间夹住的折断导丝。
