An unusual case of guide wire fractured during primary percutaneous coronary intervention, and two year follow-up

Kaplan S., KAPLAN S. T., KUTLU M.

KARDIOLOGIA POLSKA, cilt.68, sa.11, ss.1291-1294, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 68 Sayı: 11
  • Basım Tarihi: 2010
  • Dergi Adı: KARDIOLOGIA POLSKA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1291-1294
  • Karadeniz Teknik Üniversitesi Adresli: Evet

Özet

We report a case of inferior myocardial infarction treated with primary percutaneous coronary intervention. During the procedure, the guide wire fractured within the right coronary artery. Despite many attempts, the piece of wire could not be removed. The options were to take the fractured wire out (either percutaneously or surgically) or to leave it in the patient. After discussion with cardiac surgeons, we managed the patient medically. The motto of this case report is that, although percutaneous and surgical management may be the primary options, medical management with dual antiplatelet drugs is possible.