title: Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting.
abstract: We present a case of a 64-year-old man with coronary artery disease, who underwent a percutaneous coronary intervention of the circumflex artery. As the guidewire was being withdrawn from the target vessel, it became entrapped by the structure of the previously implanted stent. Attempts to retrieve the foreign body were unsuccessful. Changes in electrocardiogram were observed during the procedure, and the level of cardiac biomarkers increased within the next 24-hours. The patient was admitted to the Cardiac Surgery Department. Remnants of the foreign body were removed under visual control using extracorporeal circulation, and coronary artery bypass grafting was performed. Treatment options and outcomes are discussed.
authors.affiliation: 1 Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biała, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Domaradzki
authors.affiliation: 1 Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biała, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Sanetra
authors.affiliation: 1 Department of Cardiology and Angiology, American Heart of Poland, Ustroń, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Skwarna
authors.affiliation: 1 Department of Cardiology and Angiology, American Heart of Poland, Ustroń, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Król
authors.affiliation: Department of Anaesthesiology and Intensive Care, American Heart of Poland, Bielsko-Biała, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Kuczera
authors.affiliation: 1 Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biała, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Cisowski
keywords: CABG; PCI; guidewire