경피적 관상동맥 확장 성형술 도중 우관상동맥 뒤가쪽가지에서 발생한 유도철사 부러짐
Guide wire fracture during percutaneous coronary intervention
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초록
Guide wire fracture during percutaneous coronary intervention (PCI) is rare. It can cause fatal complications such as thrombus formation, embolization, and perforation. Guide wire fracture could occur during intervention for severely calcified stenotic lesions, and rarely from distal small branches of stenotic lesions. There are several methods for its management depending on the material character, position, length of the remnant, and the patient’s condition. If percutaneous retrieval was not achieved, the surgical procedure should be considered for prevention of potential risks, although the remnant guide wire does not usually cause complications. We experienced a patient with a guide wire fracture during PCI, and managed to prevent its complications through surgical removal of the remnant wire. We report this case here.
Abstract
Guide wire fracture during percutaneous coronary intervention (PCI) is rare. It can cause fatal complications such as thrombus formation, embolization, and perforation. Guide wire fracture could occur during intervention for severely calcified stenotic lesions, and rarely from distal small branches of stenotic lesions. There are several methods for its management depending on the material character, position, length of the remnant, and the patient’s condition. If percutaneous retrieval was not achieved, the surgical procedure should be considered for prevention of potential risks, although the remnant guide wire does not usually cause complications. We experienced a patient with a guide wire fracture during PCI, and managed to prevent its complications through surgical removal of the remnant wire. We report this case here.
참고문헌 (9)
- Hartzler GO, "Retained percutaneous transluminal coronary angioplasty equipment components and their management", Am J Cardiol, 60, pp.1260~1264 (1987)
- Khonsari S, "Fracture and dislodgment of floppy guidewire during percutaneous transluminal coronary angioplasty", Am J Cardiol, 58, pp.855~856 (1986)
- 홍영민, "A Case of Guide Wire Fracture With Remnant Filaments in the Left Anterior Descending Coronary Artery and Aorta", Korean Circulation Journal, 40(09), pp.475~477 (2010), 대한심장학회
- Al-Moghairi AM, "Management of retained intervention guide-wire: a literature review", Curr Cardiol Rev, 9, pp.260~266 (2013)
- Woodfield SL, "Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade", Cathet Cardiovasc Diagn, 44, pp.220~223 (1998)
- Al-Amri HS, "Left main approach for retrieval of retained guidewire fragment", J Card Surg, 27, pp.307~308 (2012)
- Cho YH, "Rescuing an entrapped guidewire using a Tornus catheter", Circ J, 71, pp.1326~1327 (2007)
- 김태진, "Fatal Subacute Stent Thrombosis Induced by Guidewire Fracture with Retained Filaments in the Coronary Artery", Korean Circulation Journal, 43(11), pp.761~765 (2013), 대한심장학회
- Karabulut A, "Entrapment of hydrophilic coated coronary guidewire tips: which form of management is best?", Cardiol J, 17, pp.104~108 (2010)