Percutaneous transluminal coronary angioplasty hardware entrapment: guidewire entrapment.
Entrapment and fracture of coronary angioplasty hardware are rare complications of percutaneous coronary interventions for which cardiac surgery is sometimes required. We report a case of guidewire entrapment during stenting of the left anterior descending coronary artery (LAD) that required surgical removal. Although a piece of guidewire remained entrapped inside the stent, in the proximal tract of the LAD, a single bypass using the left mammary artery was performed. No perioperative complications were observed. There were no signs of perioperative or postoperative myocardial infarction, as indicated by clinical biomarkers or by electrocardiographic changes. The patient had an uneventful recovery and was discharged from the hospital on the sixth postoperative day.
Division of Cardiac Surgery, St. Andrea Hospital, University of Rome 'La Sapienza', Rome, Italy. capmd@katamail.com
Fabio
F
Capuano
Caterina
C
Simon
Antonino
A
Roscitano
Riccardo
R
Sinatra
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000628:therapy*; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome