CARDIOVASCULAR JOURNAL OF AFRICA • Volume 33, No 3, May/June 2022 164 AFRICA References 1. Datta G. Broken guidewire – A tale of three cases. Indian Heart J 2015; 67(Suppl 3): S49–S52. 2. Balbi M, Bezante GP, Brunelli C, Rollando D. Guide wire fracture during percutaneous transluminal coronary angioplasty: possible causes and management. Interact Cardiovasc Thorac Surg 2010; 10(6): 992–994. 3. Al-Moghairi AM, Al-Amri HS. Management of retained intervention guide-wire: a literature review. Curr Cardiol Rev 2013; 9: 260–266. 4. Kim TJ, Kim JK, Park BM, Song PS, Kim DK, Kim KH, et al. Fatal subacute stent thrombosis induced by guidewire fracture with retained filaments in the coronary artery. Korean Circ J 2013; 43(11): 761–765. 5. Ito S, Yoshida T, Suda H. A case of fractured guide wire perforating the coronary artery and ascending aorta during percutaneous coronary intervention. J Cardiol Cases 2013; 7: e137-41. 6. Bonvini RF, Werner KD, Buettner HJ, Buergelin KH, Zeller T. Retrieval of lost coronary guidewires during challenging percutaneous coronary interventions. Cardiovasc Revasc Med 2010; 11(4): 262.e7–10. 7. Singh D, Darbari A. Retrieval of trapped and broken guide wire with immediate rescue off-pump coronary bypass surgery. Interact Cardiovasc Thorac Surg 2014; 19(3): 529–531. 8. Hong YM, Lee SR. A case of guide wire fracture with remnant filaments in the left anterior descending coronary artery and aorta. Korean Circ J 2010; 40(9): 475–477. Fig. 2. The uncoiled segment of the guide wire was retrieved via a wire-cutting technique. (A) IVUS demonstrated three guide wires in the left main artery: the uncoiled one and the other two guide wires from the LAD and LCX. The arrows indicate the three guide wire locations. (B) Rotational atherectomy was performed from left main to LAD to cut off the coiled guide wire. (C) The coiled segment of the guide wire was retrieved. (D) IVUS revealed the coiled guide wire was cut off at the ostium of the LCX. The arrow indicates the guide wire at the ostium of the LCX. (E) IVUS revealed no guide wire remnant in the left main artery. (F) One-year angiographic follow up showed no restenosis or thrombus formation in the LCX despite the guide wire remnant within the OM and under the stents struts. A D B E C F
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