eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2015
vol. 12
 
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abstract:
Case report

Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting

Wojciech Domaradzki
,
Krzysztof Sanetra
,
Bartosz Skwarna
,
Marek Król
,
Małgorzata Kuczera
,
Marek Cisowski

Kardiochirurgia i Torakochirurgia Polska 2015; 12 (3): 242-245
DOI: https://doi.org/10.5114/kitp.2015.54461
Online publish date: 2015/09/30
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We present a case of a 64-year-old man with coronary artery disease, who underwent a percutaneous coronary intervention of the circumflex artery. As the guidewire was being withdrawn from the target vessel, it became entrapped by the structure of the previously implanted stent. Attempts to retrieve the foreign body were unsuccessful. Changes in electrocardiogram were observed during the procedure, and the level of cardiac biomarkers increased within the next 24-hours. The patient was admitted to the Cardiac Surgery Department. Remnants of the foreign body were removed under visual control using extracorporeal circulation, and coronary artery bypass grafting was performed. Treatment options and outcomes are discussed.
keywords:

CABG, PCI, guidewire
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