Korean Circ J.  2012 Mar;42(3):201-204. 10.4070/kcj.2012.42.3.201.

Successful Retrieval of a Fractured and Entrapped 0.035-Inch Terumo Wire in the Femoral Artery Using Biopsy Forceps

Affiliations
  • 1Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. swrha617@yahoo.co.kr

Abstract

A 0.035-inch guide wire fracture and entrapment in a peripheral artery is a very rare complication, but when it does occur it may lead to life-threatening complications, such as perforation, thrombus formation, embolization, and subsequent limb ischemia. We describe our experience of successfully retrieving a fractured 0.035-inch Terumo guide wire in the external iliac artery using a biopsy forcep.

Keyword

Percutaneous transluminal coronary angioplasty; Complications

MeSH Terms

Angioplasty, Balloon, Coronary
Arteries
Biopsy
Extremities
Femoral Artery
Iliac Artery
Ischemia
Surgical Instruments
Thrombosis

Figure

  • Fig. 1 A: diagnostic angiogram showing a focal stenotic lesion in the external iliac artery. B: attempt to retrieve the fractured guide wire using a snare device. C: attempt to push the fractured guide wire using a 5 Fr multipurpose catheter.

  • Fig. 2 Retrieval of the fractured guide wire using a biopsy forcep.


Reference

1. Feldman T. Retrieval techniques for dislodged stents. Catheter Cardiovasc Interv. 1999. 47:325–326.
2. Mintz GS, Bemis CE, Unwala AA, Hadjimiltiades S, Kimbiris D. An alternative method for transcatheter retrieval of intracoronary angioplasty equipment fragments. Cathet Cardiovasc Diagn. 1990. 20:247–250.
3. Chang TM, Pellegrini D, Ostrovsky A, Marrangoni AG. Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware. Tex Heart Inst J. 2002. 29:329–332.
4. Chang CP, Lin JJ, Hung JS, Pai PY, Hsu CH. Retrieval of dislodged coronary intravascular ultrasound catheter with embolic protection device. Int Heart J. 2009. 50:121–125.
5. Sianos G, Papafaklis MI. Septal wire entrapment during recanalisation of a chronic total occlusion with the retrograde approach. Hellenic J Cardiol. 2011. 52:79–83.
6. van Gaal WJ, Porto I, Banning AP. Guide wire fracture with retained filament in the LAD and aorta. Int J Cardiol. 2006. 112:e9–e11.
7. Li C, Yang Z, Cao K. Retrieval of dislodged coronary stent from left renal artery by gooseneck snare. J Biomed Res. 2010. 24:479–482.
8. Patel T, Shah S, Pandya R, Sanghvi K, Fonseca K. Broken guidewire fragment: a simplified retrieval technique. Catheter Cardiovasc Interv. 2000. 51:483–486.
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