BROKEN CORONARY GUIDE WIRES IN CORONARY TREE: A SIMPLE, SAFE AND COST EFFECTIVE TECHNIQUE FOR SUCCESSFUL RETRIEVAL;

Abstract

In complex coronary artery disease percutaneous coronary angioplasty (PCI) isincreasingly employed. During the procedure of PCI to open the occluded vesselsand to facilitate the balloon and stent deployment a number of different steerablecoronary guide wires are used. However, the guide wires are not without hazards:these can perforate or dissect the vessel. Fracture and entrapment of the guidewires itself although uncommon but is also a serious complication. Managementof fractured coronary guide wire depends upon the clinical situation of the patientand the position and length of the fractured remnant.We report two cases of broken coronary guide wire within the coronary treeduring PCI. First case was during intervention on a chronic totally occluded artery(CTO) while 2nd case was during P-PCI. Both wires were retrieved, arteries werest nd opened and stented in 1 case while only POBA was done successfully in 2case. Key Words: Balloon Angioplasty, Complications, Coronary Artery Disease,Foreign Body Retrieval; Percutaneous Coronary Intervention, chronic totallyoccluded artery.