Yonsei Med J.  2005 Feb;46(1):166-168. 10.3349/ymj.2005.46.1.166.

Broken Guidewire Fragment in the Radio-brachial Artery During Transradial Sheath Placement: Percutaneous Retrieval via Femoral Approach

• Kim JY
• Yoon J
• Jung HS
• Kim WJ
• Yoo BS
• Lee SH
• Choi KH

• KMID: 2158129
• DOI: http://doi.org/10.3349/ymj.2005.46.1.166

Abstract

A case in which a 0.014" wire was broken during the sheath placement in the radial artery for transradial coronary procedure is described here, and a successful retrieval of it using conventional methods is also described. Through the left femoral artery, the 6 Fr guiding catheter was advanced down to the tip of the broken wire at the brachial artery, and the distal part of the broken guidewire was captivated into the guiding catheter. By inflating the balloon catheter inside of the guiding catheter, seized broken guidewire between the inflated balloon and the guiding catheter was removed successfully by withdrawing the whole system en bloc.

Keyword

Radial artery; angioplasty; complication; foreign body

MeSH Terms

Aged
Angioplasty, Transluminal, Percutaneous Coronary/*adverse
effects/instrumentation/*methods
Brachial Artery
Coronary Arteriosclerosis/diagnosis
Equipment Failure
Female
Femoral Artery
Foreign Bodies/*etiology/*therapy
Humans
Radial Artery

Figure

• 

  Fig. 1 A. A broken 0.014" guidewire retained in a left radio-brachial artery. B. Retrieval using a snare was attempted several times but failed. C. The distal part of the broken 0.014" guidewire inside of the guiding catheter. D. Another 0.014" guidewire was passed alongside the broken wire. E. Balloon catheter was positioned alongside the broken wire inside of the distal tip of the guiding catheter. F. Balloon was inflated in the guiding catheter and the guiding catheter was withdrawn.

Reference

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