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

Authors
Park, Sang-HoRha, Seung-WoonHer, Keun
Issue Date
10월-2015
Publisher
SPRINGER
Keywords
Percutaneous coronary intervention; Coronary occlusion; Complications; Pericardium
Citation
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, v.31, no.7, pp.1293 - 1294
Indexed
SCIE
SCOPUS
Journal Title
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
Volume
31
Number
7
Start Page
1293
End Page
1294
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/92301
DOI
10.1007/s10554-015-0702-2
ISSN
1569-5794
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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