Article metrics

  • citations in SCindeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[=>]
  • visits in previous 30 days:3
  • full-text downloads in 30 days:0
article: 7 from 17  
Back back to result list
Vojnosanitetski pregled
2014, vol. 71, iss. 10, pp. 969-971
article language: English
document type: Case Report
doi:10.2298/VSP1410969D


A successful retrieval of stripped outer coating of J-tip diagnostic guidewire from the left popliteal artery during elective coronary angiography
aClinical Center of Niš, Clinic for Cardiovascular Diseases, Niš
bClinical Center of Kragujevac, Clinic for Cardiology, Kragujevac

e-mail: miodragd@ptt.rs

Abstract

Introduction. Entrapment and fracture of diagnostic or therapeutic devices within the coronary circulatory system are a rare, but increasing problem. Case report. A 70-yearold man was admitted in our clinic for coronary angiography before the planned aortic valve replacement. An arterial sheath was inserted in the right common femoral artery. After introducing a J-tip diagnostic coronary guidewire into the aorta and advancing a left Judkins diagnostic catheter over it, suddenly occurred peeling off of the wire's hydrophilic coating at the aortic arch level. Very soon, this outer coating of guidewire carried by the blood stream was entered into the left femoral artery, then into the left popliteal artery. This stripped part of guidewire was successfully caught and extracted out by using a goose-neck snare catheter. Conclusion. A sudden stripping of outer coating of a J-tip diagnostic hydrophilic coronary guidewire during coronary angiography is possible to manage quickly and successfully by the use of a simple catheter.

Keywords

References

Alexiou, K., Kappert, U., Knaut, M., Matschke, K., Tugtekin, S.M. (2006) Entrapped coronary catheter remnants and stents: must they be surgically removed?. Tex Heart Inst J, 33(2): 139-42
Ammann, P., Brunner-la, R.H.P., Angehrn, W., Roelli, H., Sagmeister, M., Rickli, H. (2003) Procedural Complications Following Diagnostic Coronary Angiography Are Related to the Operator's Experience and the Catheter Size. Cathet Cardiovasc Intervent, 59: 13-1
Chang, T.M., Pellegrini, D., Ostrovsky, A., Marrangoni, A.G. (2002) Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware. Tex Heart Inst J, 29: 329
Criado, F.J. (1999) Percutaneous arterial puncture and endoluminal access techniques. in: Criado F.J. [ed.] Endovascular Intervention: basic concepts and techniques, NY, Armonk: Futura Publishing Company, Inc, : 21-29
Erglis, A., Narbute, I., Sondore, D., Grave, A., Jegere, S. (2010) Tools and techniques: coronary guidewires. EuroIntervention, 6: 1-8
Goksin, I., Baltalarli, A., Semiz, E., Gurses, E., Sacar, M., Ozcan, V., Sungurtekin, H. (2007) Catheter entrapment during balloon angioplasty in patient with in-stent restenosis: an unusual complication and its surgical management. J Card Surg, 22(2): 160-2
Hosokawa, K., Nakajima, Y., Matsuyama, H., Shibasaki, M. (2008) Intraoperative monitoring of movement of an entrapped coronary guidewire by transesophageal echocardiography. Anesthesia and analgesia, 107(4): 1158-60
Kaplan, S., Kaplan, S.T., Kutlu, M. (2010) An unusual case of guide wire fractured during primary percutaneous coronary intervention, and two year follow-up. Kardiologia polska, 68(11): 1291-3
Karabulut, A., Daglar, E., Cakmak, M. (2010) Entrapment of hydrophilic coated coronary guidewire tips: which form of management is best?. Cardiol J, 17: 104
Sheth, R., Someshwar, V., Warawdekar, G. (2007) Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: an effective solution. Cardiovasc Intervent Radiol, 30(1): 48-53