A case report of fractured guidewire removal by rotational atherectomy

Journal of Cardiothoracic Surgery

Jian Ye¹  Zong-Jun Liu¹  Xu Wang¹  Jun-Qing Gao¹ 

[1] Department of Cardiology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, 200062, Shanghai, People’s Republic of China;

关键词: Rotational atherectomy;    Percutaneous coronary intervention;    Fractured guidewire;    Drug-eluting stent;   

DOI  :  10.1186/s13019-021-01724-3

来源: Springer

【 摘 要 】

BackgroundFractures occur in association with manipulation and because of the complexity of the coronary artery, and they can cause a series of serious complications, such as myocardial infarction and secondary thrombosis. Common treatments for fractured guidewires include conservative, interventional and surgical methods.Case presentationsA 67-year-old male was admitted to our institute. He had recurrent chest tightness and chest pain for half a month, which worsened in one day. He was diagnosed with acute non-ST-segment elevation myocardial infarction. Guidewire fracture was caused by improper manipulation during percutaneous coronary intervention. We successfully performed rotational atherectomy to remove the fractured guidewire. His symptoms, and condition improved 6 weeks after the removal of fractured guidewire.ConclusionPhysicians should have higher requirements for the quality of the guidewires and operation techniques.

【 授权许可】

CC BY