title: [Embolization of hydrophilic guide wire coating].
abstract: The number of interventional cardiovascular procedures has been rising steadily. Such procedures include the intravascular insertion of catheters and guide wires. These devices consist of a metallic core and coil that may be covered by hydrophilic coating to ease crossability and control for challenging lesions. We report two cases where insertion of a ChoICE® PT guide wire into the coronary artery led to embolization of the hydrophilic coating material with occlusion of small intramyocardial arteries.
authors.affiliation: Institut für Pathologie, Universitätsspital Basel, Schönbeinstr. 40, 4031, Basel, Schweiz. muensts@uhbs.ch
authors.forename: S
authors.initials: S
authors.lastname: Muenst
authors.forename: N
authors.initials: N
authors.lastname: Willi
authors.forename: G
authors.initials: G
authors.lastname: Cathomas
authors.forename: R V
authors.initials: RV
authors.lastname: Jeger
authors.forename: S D
authors.initials: SD
authors.lastname: Soysal
authors.forename: K
authors.initials: K
authors.lastname: Glatz
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation*; D020099:Coated Materials, Biocompatible / Q000009:adverse effects*; D023903:Coronary Restenosis / Q000473:pathology / Q000628:therapy; D023921:Coronary Stenosis / Q000473:pathology / Q000628:therapy*; D003328:Coronary Thrombosis / Q000473:pathology*; D003331:Coronary Vessels / Q000473:pathology; D004617:Embolism / Q000473:pathology*; D017809:Fatal Outcome; D005549:Foreign-Body Reaction / Q000473:pathology; D006801:Humans; D057927:Hydrophobic and Hydrophilic Interactions; D020925:Hypoxia-Ischemia, Brain / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000473:pathology; D009203:Myocardial Infarction / Q000473:pathology / Q000628:therapy*; D009206:Myocardium / Q000473:pathology; D011015:Pneumonia, Aspiration / Q000473:pathology*; D019233:Retreatment; D015607:Stents / Q000009:adverse effects*
chemical_list: D020099:Coated Materials, Biocompatible