title: Entrapment of a guide wire by the Chiari network in a patient with ablated idiopathic ventricular tachycardia.
abstract: Using a guide wire before insertion of a sheath is a common procedure with infrequent complications. We report an unusual case of a guide wire having been entrapped by the Chiari network prior to an intended radiofrequency ablation procedure, and which could be observed using intracardiac echocardiography. Using transthoracic echocardiography prior to ablation, this patient had been shown to have a relatively large Chiari network. We caution against using a long guide wire in patients with a large Chiari network.
authors.affiliation: Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. eimei@med.kyushu-u.ac.jp
authors.forename: E
authors.initials: E
authors.lastname: Shimoike
authors.forename: N
authors.initials: N
authors.lastname: Ueda
authors.forename: T
authors.initials: T
authors.lastname: Maruyama
authors.forename: Y
authors.initials: Y
authors.lastname: Kaji
authors.forename: Y
authors.initials: Y
authors.lastname: Niho
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods; D004452:Echocardiography; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*