An unusual case of guide wire fractured during primary percutaneous coronary intervention, and two year follow-up.
We report a case of inferior myocardial infarction treated with primary percutaneous coronary intervention. During the procedure, the guide wire fractured within the right coronary artery. Despite many attempts, the piece of wire could not be removed. The options were to take the fractured wire out (either percutaneously or surgically) or to leave it in the patient. After discussion with cardiac surgeons, we managed the patient medically. The motto of this case report is that, although percutaneous and surgical management may be the primary options, medical management with dual antiplatelet drugs is possible.
Department of Cardiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. skaplan74@hotmail.com
Sahin
S
Kaplan
Safiye Tuba
ST
Kaplan
Merih
M
Kutlu
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome