Successful Retrieval of Uncoiled Coronary Guidewire Using Simple Balloon Method
Published: October 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6599
Shivanand Patil, Rangraj Ramalingam, Jayashree Kharge, Mohan Nayak, Cholenahally Nanjappa Manjunath
1. Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
2. Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
3. Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
4. Chief Technician, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
5. Director, Professor and Head, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
Correspondence Address :
Dr. Shivanand Patil,
Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research,
Jayanagar 9th Block, Bannerghatta Road, Bangalore-560069, Karnataka, India.
E-mail : drssspatil@rediffmail.com
Abstract
Breakage of angioplasty device in coronary artery can cause panic in the catheterization laboratory. These broken fragments may serve as a nidus for thrombus formation; hence, removal of these fragments becomes mandatory. Since the incidence of guidewire fracture during angioplasty are rarely reported, evidence-based approaches are not available for the management of such incidental conditions. Here, we report an interesting case of entrapment and unravelling of guidewire. We successfully retrieved unravelled guidewire using a noncompliant balloon inflated in the guiding catheter. Subsequently, the procedure was completed successfully with an implantation of a stent in the culprit lesion. We are of opinion that this novel technique is quite easy and less cumbersome than other described techniques reported earlier.
Keywords
Complications, Interventional cardiology, New techniques