Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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경피적 관상동맥 확장 성형술 도중 우관상동맥 뒤가쪽가지에서 발생한 유도철사 부러짐

Guide wire fracture during percutaneous coronary intervention

  • Kim, Hak Ro (Department of Internal Medicine, Sunlin Hospital) ;
  • Yim, Tae Hoon (Department of Internal Medicine, Sunlin Hospital) ;
  • Kim, Byung Chul (Department of Internal Medicine, Sunlin Hospital) ;
  • Lee, Ho Jun (Department of Internal Medicine, Sunlin Hospital) ;
  • Oh, Hong Geun (Department of Internal Medicine, Sunlin Hospital) ;
  • Ju, Hyun Sik (Department of Internal Medicine, Sunlin Hospital) ;
  • Kim, Tae Jin (Department of Internal Medicine, Sunlin Hospital) ;
  • Kim, Young Bok (Department of Internal Medicine, Sunlin Hospital)
  • 투고 : 2015.01.06
  • 심사 : 2015.04.02
  • 발행 : 2016.06.30
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초록

Guide wire fracture during percutaneous coronary intervention (PCI) is rare. It can cause fatal complications such as thrombus formation, embolization, and perforation. Guide wire fracture could occur during intervention for severely calcified stenotic lesions, and rarely from distal small branches of stenotic lesions. There are several methods for its management depending on the material character, position, length of the remnant, and the patient's condition. If percutaneous retrieval was not achieved, the surgical procedure should be considered for prevention of potential risks, although the remnant guide wire does not usually cause complications. We experienced a patient with a guide wire fracture during PCI, and managed to prevent its complications through surgical removal of the remnant wire. We report this case here.

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참고문헌

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