Retained Coronary Guidewire Extending to the Right Axillary Artery.
Retained Coronary Guidewire Extending to the Right Axillary Artery.
- 2020
Available in print through MWHC library: 2002 - present
This is a case of a 56-year-old female who presented with inferior ST segment elevation myocardial infarction (STEMI), treated with percutaneous intervention (PCI), which was complicated by a retained guidewire extending from left circumflex artery (at location of obtuse marginal (OM) stent) through the ascending aorta, the right brachiocephalic artery and into the right axillary artery. Patient underwent cardiac CT, with maximum intensity projection image showing the course of the retained guidewire. Percutaneous retrieval was deferred due to risk of damaging the stent, and the patient initially deferred coronary artery bypass (CABG) and surgical retrieval as. She was discharged on triple therapy with Aspirin, Clopidogril and Apixaban for 3months with no bleeding or thromboembolic complications on a 3-month follow up with cardiology clinic, during which rediscussion of risks and benefits of CABG and surgical retrieval or retained wire took place with the patient. Patient agreed to undergo the procedure and guidewire was retrieved surgically and CABG was done. Copyright (c) 2019 Elsevier Inc. All rights reserved.
English
1878-0938
10.1016/j.carrev.2019.10.018 [doi] S1553-8389(19)30671-2 [pii]
*Percutaneous Coronary Intervention
*ST Elevation Myocardial Infarction
Axillary Artery/dg [Diagnostic Imaging]
Axillary Artery/su [Surgery]
Coronary Artery Bypass/ae [Adverse Effects]
Coronary Vessels
Female
Humans
Middle Aged
Percutaneous Coronary Intervention/ae [Adverse Effects]
Percutaneous Coronary Intervention/mt [Methods]
ST Elevation Myocardial Infarction/th [Therapy]
Treatment Outcome
MedStar Heart & Vascular Institute
Journal Article
Available in print through MWHC library: 2002 - present
This is a case of a 56-year-old female who presented with inferior ST segment elevation myocardial infarction (STEMI), treated with percutaneous intervention (PCI), which was complicated by a retained guidewire extending from left circumflex artery (at location of obtuse marginal (OM) stent) through the ascending aorta, the right brachiocephalic artery and into the right axillary artery. Patient underwent cardiac CT, with maximum intensity projection image showing the course of the retained guidewire. Percutaneous retrieval was deferred due to risk of damaging the stent, and the patient initially deferred coronary artery bypass (CABG) and surgical retrieval as. She was discharged on triple therapy with Aspirin, Clopidogril and Apixaban for 3months with no bleeding or thromboembolic complications on a 3-month follow up with cardiology clinic, during which rediscussion of risks and benefits of CABG and surgical retrieval or retained wire took place with the patient. Patient agreed to undergo the procedure and guidewire was retrieved surgically and CABG was done. Copyright (c) 2019 Elsevier Inc. All rights reserved.
English
1878-0938
10.1016/j.carrev.2019.10.018 [doi] S1553-8389(19)30671-2 [pii]
*Percutaneous Coronary Intervention
*ST Elevation Myocardial Infarction
Axillary Artery/dg [Diagnostic Imaging]
Axillary Artery/su [Surgery]
Coronary Artery Bypass/ae [Adverse Effects]
Coronary Vessels
Female
Humans
Middle Aged
Percutaneous Coronary Intervention/ae [Adverse Effects]
Percutaneous Coronary Intervention/mt [Methods]
ST Elevation Myocardial Infarction/th [Therapy]
Treatment Outcome
MedStar Heart & Vascular Institute
Journal Article