Fracture of a coronary guidewire during graft thrombectomy with the X-sizer device.
We present the first case reported of fracture of a coronary guidewire during thrombectomy of a massive thrombus in a recently occluded coronary bypass graft with the recently developed atherectomy catheter X-Sizer. The thrombus was successfully aspirated without distal embolisation and the guidewire fragment was trapped in the graft after covering with a coronary stent. Possible reasons for this unusual complication of X-Sizer are discussed.
Cafri
Carlos
C
Cardiology Department, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University, Beer Sheva, Israel. Cafricar@Clalit.org.il
Rosenstein
G
G
Ilia
R
R
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D003331:Coronary Vessels / Q000293:injuries / Q000601:surgery; D004868:Equipment Failure; D006801:Humans; D008297:Male; D017131:Thrombectomy / Q000009:adverse effects* / Q000295:instrumentation