Year: 2025
Type: article
Abstract: Background: Guide wire fracture and entrapment during coronary intervention are rare but serious complications. These incidents can lead to thromboembolism, vessel perforation, and thrombosis, necessitating immediate and careful intervention. Case Report: We present a case involving a male patient undergoing PCI for a chronic total occlusion (CTO) of the right coronary artery (RCA), where a guide wire became entangled and entrapped under a deployed stent, requiring complex percutaneous techniques. Despite prolonged efforts using multiple retrieval strategies, the wire fractured. The remnant was securely embedded with a stent and post-dilated. The patient recovered without event. Conclusion: Entrapped guide wires represent a rare yet serious complication in PCI. When extraction is unfeasible, stenting over the remnant with adequate post-dilation is a viable and safe alternative.
Authors: Fani Suslina Hasibuan, Jordan Budiono, Indah Fitriani, Achmad Fauzi Yahya
Institution: Dr. Hasan Sadikin General Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7081935184
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