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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Main Authors: Natasha Corballis, Sreekumar Sulfi, Alisdair Ryding
Format: Article
Language:English
Published: Wiley 2018-01-01
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.
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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
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AT sreekumarsulfi opticalcoherencetomographicstudyofachronicallyretainedcoronaryguidewire
AT alisdairryding opticalcoherencetomographicstudyofachronicallyretainedcoronaryguidewire