Work

Excimer laser coronary atherectomy for the successful retrieval of an isolated guidewire entrapped in a severely calcified vessel

Year: 2026

Type: article

Abstract: Background Entrapment of an interventional guidewire during percutaneous coronary intervention (PCI) is rare. Several different techniques may be utilized for retrieval. Case presentation An 81-year-old male with multi-vessel disease underwent PCI for unstable angina when a guidewire became entrapped. Neither balloon or micro catheters, or various wires could cross. Manual pull was ineffective. Intravascular ultrasound imaging did not cross but demonstrated heavily calcified plaque. Shockwave lithotripsy was unsuccessful. Excimer laser coronary atherectomy (ELCA) was performed proximally for lesion modification. Rapturously, the entrapped guidewire was successfully dislodged and safely retrieved. Conclusion A progressive approach for entrapped wires should be employed. ELCA may be an effective strategy for entrapped guidewire retrieval.

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2026.100140

Authors: Chantal Y. Asselin, Tasfia Rahman, Joseph De Gregorio

Institutions: Morristown Medical Center, Hackensack Meridian School of Medicine

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $920