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, vol.68, no.11, pp.1291-1294, 2010 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 68 Issue: 11
  • Publication Date: 2010
  • Journal Name: KARDIOLOGIA POLSKA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1291-1294
  • Karadeniz Technical University Affiliated: Yes

Abstract

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.