Entrapment of Broken Guidewire in the Coronary Artery: A Rare Percutaneous Coronary Intervention Complication Requiring Urgent Revascularization
Entrapment and fracture of the coronary guidewire is a rare complication of percutaneous coronary interventions (PCIs). The incidence of such complication in PCI is reported to be between 0.2 and 0.8%.1,2 Despite technical improvements and development of more flexible and high-quality guidewires, the incidence of these complications is increasing.3
There are many management strategies for entrapped guidewires reported in the literature. In a report including 67 patients, surgery was performed in 43.4%, percutaneous interventions were performed in 41.8% and conservative therapies were chosen for 14.9% of the patients.4
Herein, we reported a case of broken and entrapped guidewire in a coronary vessel during PCI which was removed by open heart surgery.
Keywords: : Coronary Artery Disease; Myocardial Infarction; Angiography, Coronary; Percutaneous Coronary Intervention/complications, Device Removal; Myocardial Revascularization.