title: Left main approach for retrieval of retained guidewire fragment.
abstract: Entrapment and detachment of guidewire fractures during percutaneous coronary intervention (PCI) are very rare, but can lead to life-threatening complications such as embolization, thrombus formation, and perforation. Surgical extraction of the remnant fragments is recommended if the percutaneous retrieval is not possible. We present a case of remnant guidewire into the left anterior descending artery (LAD) and aorta that led to acute coronary thrombosis following primary angioplasty. Surgical retrieval was possible only through a left main (LM) approach.
authors.affiliation: Department of Adult Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
authors.forename: Hussein S
authors.initials: HS
authors.lastname: Al-Amri
authors.forename: Abdulrahman M
authors.initials: AM
authors.lastname: AL-Moghairi
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Calafiore
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D056988:Anterior Wall Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001027:Aortography; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology / Q000601:surgery; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male