A case report of fractured guidewire removal by rotational atherectomy
Abstract Background 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, in...
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2021
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oai:doaj.org-article:9c5f561eedc9482ba7c9fba4b72dd5d52021-11-28T12:30:58ZA case report of fractured guidewire removal by rotational atherectomy10.1186/s13019-021-01724-31749-8090https://doaj.org/article/9c5f561eedc9482ba7c9fba4b72dd5d52021-11-01T00:00:00Zhttps://doi.org/10.1186/s13019-021-01724-3https://doaj.org/toc/1749-8090Abstract Background 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. Case presentations A 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. Conclusion Physicians should have higher requirements for the quality of the guidewires and operation techniques.Xu WangJian YeJun-Qing GaoZong-Jun LiuBMCarticleRotational atherectomyPercutaneous coronary interventionFractured guidewireDrug-eluting stentSurgeryRD1-811AnesthesiologyRD78.3-87.3ENJournal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-5 (2021) |
institution |
DOAJ |
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DOAJ |
language |
EN |
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Rotational atherectomy Percutaneous coronary intervention Fractured guidewire Drug-eluting stent Surgery RD1-811 Anesthesiology RD78.3-87.3 |
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Rotational atherectomy Percutaneous coronary intervention Fractured guidewire Drug-eluting stent Surgery RD1-811 Anesthesiology RD78.3-87.3 Xu Wang Jian Ye Jun-Qing Gao Zong-Jun Liu A case report of fractured guidewire removal by rotational atherectomy |
description |
Abstract Background 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. Case presentations A 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. Conclusion Physicians should have higher requirements for the quality of the guidewires and operation techniques. |
format |
article |
author |
Xu Wang Jian Ye Jun-Qing Gao Zong-Jun Liu |
author_facet |
Xu Wang Jian Ye Jun-Qing Gao Zong-Jun Liu |
author_sort |
Xu Wang |
title |
A case report of fractured guidewire removal by rotational atherectomy |
title_short |
A case report of fractured guidewire removal by rotational atherectomy |
title_full |
A case report of fractured guidewire removal by rotational atherectomy |
title_fullStr |
A case report of fractured guidewire removal by rotational atherectomy |
title_full_unstemmed |
A case report of fractured guidewire removal by rotational atherectomy |
title_sort |
case report of fractured guidewire removal by rotational atherectomy |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/9c5f561eedc9482ba7c9fba4b72dd5d5 |
work_keys_str_mv |
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1718407906611691520 |