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Fatal Subacute Stent Thrombosis Induced by Guidewire Fracture with Retained Filaments in the Coronary Artery

During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis...

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Detalles Bibliográficos
Autores principales: Kim, Tae-Jin, Kim, Jae-Kyun, Park, Bo-Min, Song, Pil-Sang, Kim, Dong-Kie, Kim, Ki-Hun, Seol, Sang-Hoon, Kim, Doo-Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866316/
https://www.ncbi.nlm.nih.gov/pubmed/24363752
http://dx.doi.org/10.4070/kcj.2013.43.11.761
Descripción
Sumario:During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis. There are several methods being recommended for the treatment of fractured guidewire remnants. However, the best treatment of remnant guidewire filament is still unclear. Herein, we present a case where we did not completely remove remnant guidewire filaments that caused fatal coronary thrombosis.