Mengal M Naeem, Syed F Mujtaba, Tahir Saghir, Shah Zeb.
Broken coronary guide wires in coronary tree: a simple, safe and cost effective technique for successful retrieval;.
Pak Heart J Jan ;49(4):195-9.

In complex coronary artery disease percutaneous coronary angioplasty (PCI) is increasingly employed. During the procedure of PCI to open the occluded vessels and to facilitate the balloon and stent deployment a number of different steerable coronary guide wires are used. However, the guide wires are not without hazards:these can perforate or dissect the vessel. Fracture and entrapment of the guide wires itself although uncommon but is also a serious complication. Management of fractured coronary guide wire depends upon the clinical situation of the patient and the position and length of the fractured remnant.We report two cases of broken coronary guide wire within the coronary tree during 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 were stnd opened and stented in 1 case while only POBA was done successfully in 2 case.

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