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Retrograde guidewire fracture complicated with pericardial tamponade in chronic total occlusive coronary lesion

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Abstract

Along with various coronary devices progress, there is a now growing trend to percutaneous coronary intervention for chronic total occlusion (CTO). However, the risk of guidewire fracture rate might be increased in complex lesion such as tortuous, calcific lesion or retrograde route. We report a case of successful surgical removal of fractured and entrapped guidewire in a septal channel during retrograde CTO intervention in a patient complicated with pericardial tamponade by delayed penetration of broken guidewire into pericardium.

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References

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Acknowledgments

This study was supported by Soonchunhyang research fund.

Conflict of interest

The authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea

    Sang-Ho Park

  2. Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul, 152-703, Korea

    Seung-Woon Rha

  3. Cardiac Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea

    Keun Her

Authors
  1. Sang-Ho Park
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  2. Seung-Woon Rha
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  3. Keun Her
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Correspondence to Seung-Woon Rha.

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Park, SH., Rha, SW. & Her, K. Retrograde guidewire fracture complicated with pericardial tamponade in chronic total occlusive coronary lesion. Int J Cardiovasc Imaging 31, 1293–1294 (2015). https://doi.org/10.1007/s10554-015-0702-2

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  • DOI: https://doi.org/10.1007/s10554-015-0702-2

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