Retained Coronary Guidewire Extending to the Right Axillary Artery.
Citation: Cardiovascular Revascularization Medicine. 21(3):434-435, 2020 03.PMID: 31780420Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 OutcomeYear: 2020Local holdings: Available in print through MWHC library: 2002 - presentISSN:- 1878-0938
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 31780420 | Available | 31780420 |
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.
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