Background: A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis.
Investigations: Coronary angiography, intravascular ultrasound.
Diagnosis: Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire.
Treatment: Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4244/EIJV7I4A83 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Transcatheter Pulmonary Flow Restrictors: Current Trends and Future Perspectives.
Catheter Cardiovasc Interv
January 2025
Pediatrics & Medicine, Weill Cornell Medicine Chief International Patients Services & Chair, Sidra Department Cardiovascular Diseases, University of Jordan, Amman, Jordan.
Article Synopsis
- Transcatheter Pulmonary Flow Restrictors (TPFRs) are innovative devices for managing pulmonary blood flow in congenital heart disease, yet there is a lack of detailed studies examining their variety and crucial design features.
- * The review consolidates current knowledge on TPFRs, highlights significant design considerations, identifies gaps in medical practice, and suggests future research avenues to improve these devices.
- * An analysis of 82 TPFR implants revealed challenges like complications with microvascular plugs, including issues with sizing, device migration, and thrombosis, while emphasizing the need for devices that can be safely removed and reduce risks like embolization and inflammation.
Lead management in patients undergoing percutaneous tricuspid valve replacement or repair: a 'heart team' approach.
Europace
November 2023
Department of Cardiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, 300 Community Drive, Manhasset, NY, USA.
Clinically significant tricuspid regurgitation (TR) has historically been managed with either medical therapy or surgical interventions. More recently, percutaneous trans-catheter tricuspid valve (TV) replacement and tricuspid trans-catheter edge-to-edge repair have emerged as alternative treatment modalities. Patients with cardiac implantable electronic devices (CIEDs) have an increased incidence of TR.
View Article and Find Full Text PDFSafe and predictable transcatheter removal of broken coronary guidewires: the 'knuckle-twister' technique: a case series report.
Eur Heart J Case Rep
August 2023
Department of Cardiology, Medizinische Universitätsklinik, Kantonsspital Baselland, Rheinstrasse 26, Liestal 4410, Switzerland.
Background: Guidewire fracture and loss is a rare but well-known and feared complication of percutaneous coronary interventions. With the increasing number of complex coronary interventions and procedures for chronic total occlusions, operators face new challenges and boundaries, and the need for solutions to otherwise rare complications is increasing.
Case Summary: We have developed a simple and practical method for retrieving fractured and lost guidewires, called the 'knuckle-twister' technique.
Jailed pressure wire technique for coronary bifurcation lesions: structural damage and clinical outcomes.
Rev Esp Cardiol (Engl Ed)
July 2023
Servicio de Cardiología, Hospital Universitario Reina Sofía de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba, Córdoba, Spain.
Introduction And Objectives: The use of a pressure wire as a jailed wire to evaluate side branch results during provisional stenting seems feasible. However, safety concerns exist due to the mechanical damage of the wire and the lack of prospective data evaluating the prognosis of patients treated using this technique. This study sought to evaluate the structural damage of the pressure wire in patients treated using the jailed pressure wire technique and to assess mid-term clinical outcomes.
View Article and Find Full Text PDFManaging transvenous right ventricular leads in the era of transcatheter tricuspid valve interventions.
HeartRhythm Case Rep
October 2022
Division of Cardiology-Section of Electrophysiology, Emory University School of Medicine, Atlanta, Georgia.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!