Document Detail

Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.
MedLine Citation:
PMID:  9637449     Owner:  NLM     Status:  MEDLINE    
We present the case of a calcified right coronary artery lesion with a 90-degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments.
S L Woodfield; A Lopez; R R Heuser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  44     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-08-18     Completed Date:  1998-08-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  220-3     Citation Subset:  IM    
Department of Medical Research, Columbia Medical Center Phoenix, Arizona, USA.
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MeSH Terms
Atherectomy, Coronary / adverse effects*,  instrumentation
Calcinosis / radiography,  surgery
Cardiac Tamponade / etiology*,  radiography,  surgery
Coronary Angiography
Coronary Disease / radiography,  surgery
Coronary Vessels / injuries*
Equipment Failure
Follow-Up Studies
Foreign Bodies / etiology*,  radiography,  surgery
Heart Bypass, Right
Intraoperative Complications
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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