Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Korean Circ J. 2010 Sep;40(9):475-7. doi: 10.4070/kcj.2010.40.9.475. Epub 2010 Sep 30.
Guide wire fractures during percutaneous coronary intervention (PCI) are very rare, but when they do occur they may lead to life-threatening complications, such as embolization, thrombus formation and perforation. In cases when percutaneous retrieval has failed, surgical extraction of the remnant fragments is recommended. We present a case of remnant guide wire filaments that remained in place without complications, over a one-year clinical follow up period.
经皮冠状动脉介入治疗(PCI)过程中导丝断裂非常罕见,但一旦发生,可能导致危及生命的并发症,如栓塞、血栓形成和穿孔。在经皮取出失败的情况下,建议进行残余碎片的外科取出。我们报告了一例在一年的临床随访期间,残余导丝丝留在原位且无并发症的病例。