PERCUTANEOUS CORONARY INTERVENTION IN A DIABETIC PATIENT WITH MULTIVESSEL DISEASE COMPLICATED BY BROKEN JAILED WIRE: SUCCESSFULLY TREATED WITH TRIPLE ANTICOAGULANTS: A CASE REPORT AND LITERATURE REVIEW

  • Abraha Hailu Weldegerima cardiology

Abstract

Retained fractured guidewire are rarely encountered during percutaneous coronary intervention (PCI), but may cause serious complications. We present a 52 year old diabetic, hypertensive and smoker male patient who was diagnosed initially with STEMI with persistent angina. He was treated with staged PCI for three vessel disease. He had fractured remnant of guide wire in the Left Circumflex Obtuse Marginal Branch and did not experience serious complications during one year clinical follow up He was successfully treated by triple anticoagulation without peri procedure complications. Four months of Follow-up coronary angiography revealed no in-stent restenosis.

Author Biography

Abraha Hailu Weldegerima, cardiology

Assistant proffessor of Internal Medicine and Cardiology

in the department of internal medicine

Head, Cardiology Unit and Cardiac catheterization Laboratory.

References

Shashu BA, Ayele MA. The pattern of coronary artery diseases as diagnosed by coronary angiography and the outcome of Percutaneous Coronary Intervention (PCI) in Ethiopia. The Ethiopian Journal of Health Development (EJHD). 2014; 28(1)

Hartzler GO, Rutherford BD, McConahay DR. Retained percutaneous transluminal coronary angioplasty equipment components and their management. Am J Cardiol 1987;60:1260-4.

Kilic H, Akdemir R, Bicer A. Rupture of guide wire during percutaneous transluminal coronary angioplasty: A case report. In J Cardiol, 2008; 128: e113–e114

Alexiou K, Kappert U, Knaut M, Matschke K, Tugtekin SM. Entrapped coronary catheter remnants and stents: Must they be surgically removed? Tex Heart Inst J, 2006; 33: 139–1342.

Van Gaal WJ, Porto I, Banning AP. Guide wire fracture with retained filament in the LAD and aorta. International journal of cardiology. 2006 Sep 20;112(2):E9-11.

Cho YH, Park S, Kim JS et al. Rescuing an entrapped guidewire using a Tornus catheter. Circ J, 2007; 71: 1326–1327.

Demircan S, Yazici M, Durna K, Yasar E. Intracoronary guidewire emboli: A unique complication and retrieval of the wire. Cardiovasc Revasc Med, 2008; 9: 278–280.

Lopez-Minguez JR, Davila E, Doblado M, Merchan A, Gonzalez R, Alonso F. Rupture and intracoronary entrapment of an angioplasty guidewire with the X-Sizer thromboatherectomy catheter during rescue angioplasty. Rev Esp Cardiol, 2004; 57: 180–183.

Micovic SV, Nezic D, Mangovski L, Djukanovic B, Vukovic P. Coronary-coronary bypass to reconstruct coronary artery bed following removal of a guidewire entrapped in a stent. Thorac Cardiovasc Surg, 2009; 57: 153–155.

Karabulut A, Daglar E, Çakmak M. Entrapment of hydrophilic coated coronary guidewire tips: which form of management is best?. Cardiology journal. 2010;17(1):104-8.

Doorey AJ, Stillabower M. Fractured and retained guide-wire fragment during coronary angioplasty: Unforeseen late sequelae. Cathet Cardiovasc Diagn, 1990; 20: 238–240.

Capuano F, Simon C, Roscitano A, Sinatra R. Percutaneous transluminal coronary angioplasty hardware entrapment: Guidewire entrapment. J Cardiovasc Med (Hagerstown), 2008; 9: 1140–1141.

Pourmoghaddas M, Fard OH. Retained jailed wire: a case report and literature review. ARYA atherosclerosis. 2011;7(3):129.

Published
2019-06-28