SciELO - Scientific Electronic Library Online

vol.77 número1Tromboembolia pulmonar masiva, trombo en tránsito y disfunción ventricular derechaProteína C reactiva: aspectos cardiovasculares de una proteína de fase aguda índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • No hay artículos similaresSimilares en SciELO


Archivos de cardiología de México

versión On-line ISSN 1665-1731versión impresa ISSN 1405-9940


MARTI, Vicens  y  MARKARIAN, Leonel. Angioplasty guidewire entrapment after stent implantation: Report of two cases and review of the literature. Arch. Cardiol. Méx. [online]. 2007, vol.77, n.1, pp.54-57. ISSN 1665-1731.

Angioplasty guidewire entrapment, with or without retention of a fractured segment, is an infrequent complication and may lead to acute coronary ischemia due to thromboembolic occlusion. Management can be surgical, conservative or percutaneous. We describe two patients in whom the guidewire remained entrapped with the stent during the pullback maneuver after successful stent implantation. In one patient, we managed to extricate a metallic guidewire using the balloon as a wedge. In the other patient, a fragment of the non-metallic guidewire tip, with hydrophilic coating, remained trapped after being <<cut>> by the stent during traction towards the ostium while attempting removal. The retained segment was isolated from the blood stream by implanting a synthetic coronary stent graft. We emphasize the high risk of <<cutting>> this type of non-metallic guidewire in case of engagement with the stent, and we review the literature of this rare complication.

Palabras llave : Guidewire entrapment; PTCA.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons