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KMID : 1100320160330010052
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Yeungnam University Journal of Medicine
2016 Volume.33 No. 1 p.52 ~ p.55
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Guide wire fracture during percutaneous coronary intervention
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Kim Hak-Ro
Yim Tae-Hoon
Kim Byung-Chul
Lee Ho-Jun
Oh Hong-Geun
Ju Hyun-Sik
Kim Tae-Jin
Kim Young-Bok
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Abstract
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Guide wire fracture during percutaneous coronary intervention (PCI) is rare. It can cause fatal complications such as thrombus formation, embolization, and perforation. Guide wire fracture could occur during intervention for severely calcified stenotic lesions, and rarely from distal small branches of stenotic lesions. There are several methods for its management depending on the material character, position, length of the remnant, and the patient’s condition. If percutaneous retrieval was not achieved, the surgical procedure should be considered for prevention of potential risks, although the remnant guide wire does not usually cause complications. We experienced a patient with a guide wire fracture during PCI, and managed to prevent its complications through surgical removal of the remnant wire. We report this case here.
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KEYWORD
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Percutaneous coronary intervention, Thrombosis, Complications
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