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2. Broken Guidewire Fragment in the Radio-brachial Artery During Transradial Sheath Placement: Percutaneous Retrieval via Femoral Approach

Author

Woo Jea Kim, Byung Su Yoo, Kyung Hoon Choi, Jang Young Kim, Hyun Sook Jung, Junghan Yoon, and Seung Hwan Lee

Subjects
medicine.medical_specialty, Percutaneous, Brachial Artery, medicine.medical_treatment, Case Report, complication, Femoral artery, Coronary Artery Disease, Balloon, Whole systems, medicine.artery, Angioplasty, Medicine, Humans, Brachial artery, Radial artery, Angioplasty, Balloon, Coronary, Aged, business.industry, Balloon catheter, angioplasty, General Medicine, foreign body, Foreign Bodies, Surgery, Femoral Artery, Equipment Failure, Female, Radiology, business
Abstract

A case in which a 0.014" wire was broken during the sheath placement in the radial artery for transradial coronary procedure is described here, and a successful retrieval of it using conventional methods is also described. Through the left femoral artery, the 6 Fr guiding catheter was advanced down to the tip of the broken wire at the brachial artery, and the distal part of the broken guidewire was captivated into the guiding catheter. By inflating the balloon catheter inside of the guiding catheter, seized broken guidewire between the inflated balloon and the guiding catheter was removed successfully by withdrawing the whole system en bloc.

Published
2005

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