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Side-branch wire entrapment during bifurcation PCI: avoidance and management. | LitMetric

Side-branch wire entrapment during bifurcation PCI: avoidance and management.

Catheter Cardiovasc Interv

Cardiac Investigation Unit, St Vincent's Hospital Melbourne, PO Box 2900, Fitzroy, Victoria 3065 Australia.

Published: February 2010

AI Article Synopsis

  • The intervention for an LAD/D1 bifurcation was complicated due to a wire getting stuck in the side branch and unraveling, needing a special tool (goose-neck snare) for removal.
  • After additional balloon inflations, tiny leftover filaments were successfully taken out from the main artery, leading to a good final result seen in follow-ups after one year.
  • There are multiple techniques that can help prevent and address this type of complication during procedures.

Article Abstract

An LAD/D1 bifurcation intervention was complicated by side-branch wire entrapment and unravelling requiring goose-neck snare removal. Residual microfilaments were retrieved from the main branch after further balloon inflations with a satisfactory final angiographic result and one-year follow-up. Various methods are available to avoid and deal with this complication.

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Source
http://dx.doi.org/10.1002/ccd.22269DOI Listing

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