title: How should I treat a patient to remove a fractured jailed side branch wire?
abstract: BACKGROUND
  A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis.
  
  
  METHODS
  Coronary angiography, intravascular ultrasound.
  
  
  METHODS
  Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire.
  
  
  METHODS
  Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
authors.affiliation: Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom. columowens@yahoo.co.uk
authors.forename: Colum G
authors.initials: CG
authors.lastname: Owens
authors.forename: Mark S
authors.initials: MS
authors.lastname: Spence
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D057785:Catheters; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020878:Device Removal; D054855:Drug-Eluting Stents; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D041623:Tomography, Optical Coherence; D018084:Ultrasonography, Interventional