Sharma Sanjay Kumar
Department of Cardiology, Neo Hospital, Noida, IND.
Cureus. 2024 Jun 12;16(6):e62273. doi: 10.7759/cureus.62273. eCollection 2024 Jun.
A guidewire fracture seldom occurs as a complication of percutaneous coronary intervention (PCI). Guidewire fragments retained in the coronary tree can result in thrombosis, embolic phenomena, dissection, perforation, and vessel occlusion. This study represents a rare incidence of fractured guide wire, which occurred during PCI in a 44-year-old male due to the acute angle and heavy calcification which was safely and successfully retrieved using a 4×40 mm Solitaire device (Irvine, CA: Medtronic) (neurovascular remodeling device).
导丝断裂很少作为经皮冠状动脉介入治疗(PCI)的并发症出现。残留在冠状动脉内的导丝碎片可导致血栓形成、栓塞现象、夹层、穿孔和血管闭塞。本研究报告了一例罕见的导丝断裂病例,该病例发生在一名44岁男性患者的PCI过程中,原因是存在锐角和严重钙化,最终使用4×40 mm Solitaire装置(加利福尼亚州欧文市:美敦力公司)(神经血管重塑装置)安全且成功地取出了断裂导丝。