Document Detail

Septal wire entrapment during recanalisation of a chronic total occlusion with the retrograde approach.
MedLine Citation:
PMID:  21292611     Owner:  NLM     Status:  MEDLINE    
We report the case of an unsuccessful attempt at recanalisation of a chronic total occlusion via the retrograde approach, and describe a rare complication, guide wire entrapment in the donor artery and septal branch. Several conventional attempts to retrieve the guide wire were unsuccessful and led to wire fracture. A new approach, involving very deep guiding catheter intubation followed by a double guide wire rotary motion, was then used to retrieve the proximal end of the wire fragment and re-engage the uncoiled segment within the distal part of the donor artery. After assessment of the length of the remaining distal end of the wire segment with intravascular ultrasound, stent implantation crushed the wire filament to the vessel wall.
Georgios Sianos; Michail I Papafaklis
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  52     ISSN:  2241-5955     ISO Abbreviation:  Hellenic J Cardiol     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-02-04     Completed Date:  2011-06-14     Revised Date:  2013-08-07    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  79-83     Citation Subset:  IM    
1st Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
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MeSH Terms
Angioplasty, Balloon, Coronary
Chronic Disease
Coronary Occlusion / therapy*
Device Removal
Equipment Failure
Ultrasonography, Interventional

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