title: Broken guidewire - A tale of three cases.
abstract: Guidewire fracture is a rare complication of percutaneous coronary intervention. Retained guide wire fragments in the coronary tree can cause thrombosis, embolic phenomena, dissection, perforation, and vessel occlusion. The management of this complication is still debated and it involves conservative management of leaving wire alone, percutaneous retrieval of fractured fragment, use of second stent to crush the wire, or open heart surgery. Here, I am reporting three cases of broken guidewire and they have been managed in three different ways.
authors.affiliation: Associate Professor, Dept. of Cardiology, Burdwan Medical College, P 3 Lake Gardens Govt. Housing, 48/4 Sultan Alam Road, Calcutta 33, India. Electronic address: goutamdattadn@yahoo.in.
authors.forename: Goutam
authors.initials: G
authors.lastname: Datta
mesh_terms: D054058:Acute Coronary Syndrome / Q000628:therapy*; D000368:Aged; D000789:Angina, Unstable / Q000628:therapy*; D017023:Coronary Angiography; D020878:Device Removal; D054855:Drug-Eluting Stents; D004452:Echocardiography; D004562:Electrocardiography; D004868:Equipment Failure; D006801:Humans; D006977:Hypertension, Renal / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation*
keywords: Broken wire; Percutaneous coronary intervention; Retrieval technique