Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire
Guidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, w...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2018/9210764 |
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author | Natasha Corballis Sreekumar Sulfi Alisdair Ryding |
author_facet | Natasha Corballis Sreekumar Sulfi Alisdair Ryding |
author_sort | Natasha Corballis |
collection | DOAJ |
description | Guidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, which could not be retrieved. Using optical coherence tomography, our case demonstrates extensive tissue coverage of the retained guidewire at twelve months. Five-year follow-up suggests that retained guidewires can be managed without long-term anticoagulation, even when there is substantial intra-aortic material. |
format | Article |
id | doaj-art-c2fb69848e574944b504efaa30fdc3ae |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-c2fb69848e574944b504efaa30fdc3ae2025-02-03T01:09:00ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/92107649210764Optical Coherence Tomographic Study of a Chronically Retained Coronary GuidewireNatasha Corballis0Sreekumar Sulfi1Alisdair Ryding2Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UKDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UKDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UKGuidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, which could not be retrieved. Using optical coherence tomography, our case demonstrates extensive tissue coverage of the retained guidewire at twelve months. Five-year follow-up suggests that retained guidewires can be managed without long-term anticoagulation, even when there is substantial intra-aortic material.http://dx.doi.org/10.1155/2018/9210764 |
spellingShingle | Natasha Corballis Sreekumar Sulfi Alisdair Ryding Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire Case Reports in Cardiology |
title | Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire |
title_full | Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire |
title_fullStr | Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire |
title_full_unstemmed | Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire |
title_short | Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire |
title_sort | optical coherence tomographic study of a chronically retained coronary guidewire |
url | http://dx.doi.org/10.1155/2018/9210764 |
work_keys_str_mv | AT natashacorballis opticalcoherencetomographicstudyofachronicallyretainedcoronaryguidewire AT sreekumarsulfi opticalcoherencetomographicstudyofachronicallyretainedcoronaryguidewire AT alisdairryding opticalcoherencetomographicstudyofachronicallyretainedcoronaryguidewire |