The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

CORONARY INTERVENTIONS

Unexpected entrapment of a guidewire by bioresorbable vascular scaffold deployment at a calcified coronary lesion

EuroIntervention 2016;12:874. DOI: 10.4244/EIJV12I7A143

Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China




Entrapment of a broken guidewire after percutaneous coronary intervention is rare, with a reported incidence of 0.2%. This case involved a 64-year-old man with a high coronary calcified score (Agatston/Janowitz score: 817) by multislice cardiac computed tomography (Panel A). Intravascular ultrasound showed surrounding calcified plaque at the mid right coronary artery (RCA). Predilation was carried out and a long dissection was noted at the mid RCA with flow limitation. However, a bioresorbable vascular scaffold (BVS) (Absorb™; Abbott Vascular, Santa Clara, CA, USA) could not pass smoothly through the tight calcified lesion. A buddy wire technique was used with a 0.014” ...

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