Abstract
Along with various coronary devices progress, there is a now growing trend to percutaneous coronary intervention for chronic total occlusion (CTO). However, the risk of guidewire fracture rate might be increased in complex lesion such as tortuous, calcific lesion or retrograde route. We report a case of successful surgical removal of fractured and entrapped guidewire in a septal channel during retrograde CTO intervention in a patient complicated with pericardial tamponade by delayed penetration of broken guidewire into pericardium.
Keywords:
Complications; Coronary occlusion; Percutaneous coronary intervention; Pericardium.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Cardiac Catheterization / adverse effects
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Cardiac Catheterization / instrumentation*
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Cardiac Catheters*
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Cardiac Tamponade / diagnosis
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Cardiac Tamponade / etiology*
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Cardiac Tamponade / surgery
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Chronic Disease
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Coronary Angiography
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Coronary Occlusion / diagnosis
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Coronary Occlusion / therapy*
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Device Removal
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Equipment Design
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Equipment Failure
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Heart Injuries / diagnosis
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Heart Injuries / etiology*
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Heart Injuries / surgery
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Humans
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Male
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Middle Aged
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Percutaneous Coronary Intervention / adverse effects
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Percutaneous Coronary Intervention / instrumentation*
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Tomography, X-Ray Computed
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Treatment Outcome