Surgical management for a retained guidewire in vivo during percutaneous coronary interventions following acute myocardial infarction from descending thoracic aorta to external iliac artery: a case report

Authors

  • M. Fidah Hossain Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • M. Shamim Reza Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Swadesh R. Sarker Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Sultan Mahmud Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Masrur A. Khan Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Muhammad M. Hoque Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • M. Shadequl Islam Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Mezbahur Rahman Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Anami Mallick Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh
  • Anup K. Saha Department of Vascular Surgery, National Institute of Cardiovascular Disease and Hospital, Shere-Bangla Nagar, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20240446

Keywords:

Guidewire entrapment, Guidewire in vivo, Retention of guidewire following coronary angiogram

Abstract

This case report describes the unique presentation of a 60-year-old woman who was referred from the cardiology department due to the retention of a guidewire following a coronary angiogram. The guidewire was inadvertently left in the right external iliac artery after the angiogram procedure. This report discusses the clinical presentation, diagnostic procedures, and successful management of this case without unusual complication. The successful removal of the retained guidewire culminated in a favourable outcome for the patient. Efforts to extract residual guide-wire fragments from the coronary circulation are generally the preferred course of action. Nevertheless, certain case reports and series have proposed that, in carefully selected patients, leaving the guide-wires in situ without attempting extraction may be a reasonable option when the likelihood of successful removal appears remote, considering anatomical and technical factors. For such cases, a more suitable approach involves administering systemic anticoagulation and antiplatelet agents, coupled with vigilant follow-up.

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References

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Published

2024-02-26

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Section

Case Reports