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Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.

作者信息

Woodfield S L, Lopez A, Heuser R R

机构信息

Department of Medical Research, Columbia Medical Center Phoenix, Arizona, USA.

出版信息

Cathet Cardiovasc Diagn. 1998 Jun;44(2):220-3. doi: 10.1002/(sici)1097-0304(199806)44:2<220::aid-ccd20>3.0.co;2-p.

Abstract

We present the case of a calcified right coronary artery lesion with a 90-degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments.

摘要

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