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

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.


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