A case report of fractured guidewire removal by rotational atherectomy

Xu Wang,Jian Ye,Jun-Qing Gao,Zong-Jun Liu

doi:10.1186/s13019-021-01724-3

Xu Wang, Jian Ye + Show 2 more

Open Access

https://doi.org/10.1186/s13019-021-01724-3

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Abstract

BackgroundFractures occur in association with manipulation and because of the complexity of the coronary artery, and they can cause a series of serious complications, such as myocardial infarction and secondary thrombosis. Common treatments for fractured guidewires include conservative, interventional and surgical methods.Case presentationsA 67-year-old male was admitted to our institute. He had recurrent chest tightness and chest pain for half a month, which worsened in one day. He was diagnosed with acute non-ST-segment elevation myocardial infarction. Guidewire fracture was caused by improper manipulation during percutaneous coronary intervention. We successfully performed rotational atherectomy to remove the fractured guidewire. His symptoms, and condition improved 6 weeks after the removal of fractured guidewire.ConclusionPhysicians should have higher requirements for the quality of the guidewires and operation techniques.

Highlights

Fractured guidewires are a rare complication of percutaneous coronary intervention
Fractures occur in association with manipulation and because of the complexity of the coronary artery, and they can cause a series of serious complications, such as myocardial infarction and secondary thrombosis
Case presentation A 67-year-old male was admitted to our institute on May 31, 2020. He had recurrent chest tightness and chest pain for half a month, which worsened in one day

Summary

Introduction

Fractured guidewires are a rare complication of percutaneous coronary intervention. Fractures occur in association with manipulation and because of the complexity of the coronary artery, and they can cause a series of serious complications, such as myocardial infarction and secondary thrombosis. Common treatments for fractured guidewires include conservative, interventional and surgical methods. This article reports a case of guidewire fracture caused by improper manipulation during percutaneous coronary intervention. We successfully performed rotational atherectomy to remove the fractured guidewire.

Results

Conclusion