Twin guidewire technique for retrieval of retained guidewire in the coronary system

Fatal Subacute Stent Thrombosis Induced by Guidewire Fracture with Retained Filaments in the Coronary Artery

During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis. There are several methods being recommended for the treatment of fractured guidewire remnants. ...

A 20-year retained guidewire, should it be removed?

Preventing the guidewire escape.

To the Editor: We read with interest the article by Gulel et al. who presented a case of a missed guidewire complicated by pulmonary and systemic embolism from thrombi that formed on the wire surface. We have previously reported on missing the guidewire during central venous catheterization and described several precautions and technical modifications to prevent the guidewire escape. We believe...

A novel guidewire approach for handling acute-angle bifurcations: reversed guidewire technique with adjunctive use of a double-lumen microcatheter.

Guidewire manipulation to negotiate branches originating at an acute angle from the parent artery is a frequently encountered challenge by the interventional cardiologist in clinical practice. To date, several methods have been developed, but none of them has a definitive success rate. Here, we report a technique for negotiating extremely angulated vascular bifurcations, with which we have achi...

Retrograde guidewire trapping technique for total right coronary occlusion with unusual ostial origin.

Case Report A 64-year-old man was admitted to our institution on November 7, 2011, complaining of chest pain upon exertion for the previous year. Prior history: hypertension for more than 10 years, highest blood pressure 215/115 mmHg, 30-year history of smoking, 10 cigarettes per day. ECG on admission showed: increased II, III, AVF leads, small electrocardiogram (EKG)’s Q waves (Q), EKG’s ST se...