GUIDEWIRE TRANSECTION DURING ROTATIONAL CORONARY ATHERECTOMY DUE TO GUIDE CATHETER DISLODGMENT AND WIRE KINKING

被引：15

作者：

FOSTERSMITH, K ^{[1
]}

GARRATT, KN ^{[1
]}

HOLMES, DR ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN,DIV CARDIOVASC DIS & INTERNAL MED,ROCHESTER,MN 55905

来源：

CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1995年 / 35卷 / 03期

关键词：

GUIDEWIRE FRACTURE; ROTATIONAL CORONARY ATHERECTOMY; FOREIGN BODY RETRIEVAL;

D O I：

10.1002/ccd.1810350313

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rotational coronary atherectomy is an effective treatment for calcified ostial lesions. We report a case of guidewire transection during rotational atherectomy of a right coronary artery ostial stenosis. Guide catheter dislodgement appeared to have caused prolapse and kinking of the guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed-wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire. (C) 1995 Wiley-Liss, Inc.

引用

页码：224 / 227

页数：4

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