Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention

Abstract Guidewire entrapment (GE) is a rare complication that warrants complex interventions or surgical procedures. Here, we report the removal of an entrapped guidewire using excimer laser coronary angioplasty (ELCA) in a case of chronic total occlusion (CTO). Plaque tissue trapped with the guide...

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Main Authors: Jiannan Li, Shaodong Ye, Yijin Wang, Chaoxiang Liu, Hanjun Zhao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Cardiovascular Disorders
Online Access:https://doi.org/10.1186/s12872-024-04440-7
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author Jiannan Li
Shaodong Ye
Yijin Wang
Chaoxiang Liu
Hanjun Zhao
author_facet Jiannan Li
Shaodong Ye
Yijin Wang
Chaoxiang Liu
Hanjun Zhao
author_sort Jiannan Li
collection DOAJ
description Abstract Guidewire entrapment (GE) is a rare complication that warrants complex interventions or surgical procedures. Here, we report the removal of an entrapped guidewire using excimer laser coronary angioplasty (ELCA) in a case of chronic total occlusion (CTO). Plaque tissue trapped with the guidewire was also removed. Histopathological examination revealed that although specific components were entrapped with the guidewire, loosening the adjacent collagen fibres during ELCA contributed to the successful removal of the guidewire. This case showed that ELCA may be a novel modality for the removal of an entrapped guidewire in cases of CTO.
format Article
id doaj-art-1d4b3ca9f693427281bb67059afac8c1
institution Kabale University
issn 1471-2261
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Cardiovascular Disorders
spelling doaj-art-1d4b3ca9f693427281bb67059afac8c12025-01-19T12:09:22ZengBMCBMC Cardiovascular Disorders1471-22612025-01-012511510.1186/s12872-024-04440-7Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion interventionJiannan Li0Shaodong Ye1Yijin Wang2Chaoxiang Liu3Hanjun Zhao4Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical SciencesAbstract Guidewire entrapment (GE) is a rare complication that warrants complex interventions or surgical procedures. Here, we report the removal of an entrapped guidewire using excimer laser coronary angioplasty (ELCA) in a case of chronic total occlusion (CTO). Plaque tissue trapped with the guidewire was also removed. Histopathological examination revealed that although specific components were entrapped with the guidewire, loosening the adjacent collagen fibres during ELCA contributed to the successful removal of the guidewire. This case showed that ELCA may be a novel modality for the removal of an entrapped guidewire in cases of CTO.https://doi.org/10.1186/s12872-024-04440-7
spellingShingle Jiannan Li
Shaodong Ye
Yijin Wang
Chaoxiang Liu
Hanjun Zhao
Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
BMC Cardiovascular Disorders
title Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
title_full Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
title_fullStr Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
title_full_unstemmed Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
title_short Removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
title_sort removal of an entrapped guidewire by excimer laser coronary angioplasty in patients with chronic total occlusion intervention
url https://doi.org/10.1186/s12872-024-04440-7
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AT shaodongye removalofanentrappedguidewirebyexcimerlasercoronaryangioplastyinpatientswithchronictotalocclusionintervention
AT yijinwang removalofanentrappedguidewirebyexcimerlasercoronaryangioplastyinpatientswithchronictotalocclusionintervention
AT chaoxiangliu removalofanentrappedguidewirebyexcimerlasercoronaryangioplastyinpatientswithchronictotalocclusionintervention
AT hanjunzhao removalofanentrappedguidewirebyexcimerlasercoronaryangioplastyinpatientswithchronictotalocclusionintervention