کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2836874 1164863 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Consequences and treatment of guidewire entrapment and fracture during percutaneous coronary intervention
ترجمه فارسی عنوان
تأثیرات و درمان ضربات و شکستگی Guidewires در طول مداخله کرونری از راه پوست
کلمات کلیدی
مداخله کرونری از راه پوست؛ انسداد کامل مزمن؛ راهنمای راه؛ عوارض جانبی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی پزشکی مولکولی
چکیده انگلیسی


• Guidewire fracture may occur with greater frequency in complex lesions.
• Retained wires may be removed percutaneously, surgically, or left in situ.
• We present two different cases of guidewire entrapment and fracture.

Guidewire fracture is an uncommon, yet feared complication of percutaneous coronary intervention that may be more likely to occur in complex lesions and when guidewires interact with newly deployed or pre-existing stents. Wire fragments can often be retrieved using percutaneous techniques, but may need to be removed surgically in case of percutaneous retrieval failure. We present two cases of guidewire entrapment and fracture. In the first case the fractured polymer-jacketed guidewire was successfully retrieved, after crossing the lesion with another guidewire and performing balloon dilation next to the entrapped guidewire. In the second case, attempts for percutaneous guidewire retrieval failed. The wire fragment protruded into the ascending aorta leading to emergent cardiac surgery. We also reviewed the published literature on guidewire fracture and entrapment since 2007, providing an update on risk factors, consequences, and managements of this complication.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Cardiovascular Revascularization Medicine - Volume 17, Issue 2, March 2016, Pages 129–133
نویسندگان
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