Results
Title

A successful retrieval of stripped outer coating of J-tip diagnostic guidewire from the left popliteal artery during elective coronary angiography.

Authors

Damjanović, Miodrag; šalinger-Martinović, Sonja; Djordjević-Radojković, Danijela; Koraćević, Goran; Miloradović, Vladimir

Abstract

Introduction. Entrapment and fracture of diagnostic or therapeutic devices within the coronary circulatory system are a rare, but increasing problem. Case report. A 70-yearold man was admitted in our clinic for coronary angiography before the planned aortic valve replacement. An arterial sheath was inserted in the right common femoral artery. After introducing a J-tip diagnostic coronary guidewire into the aorta and advancing a left Judkins diagnostic catheter over it, suddenly occurred peeling off of the wire's hydrophilic coating at the aortic arch level. Very soon, this outer coating of guidewire carried by the blood stream was entered into the left femoral artery, then into the left popliteal artery. This stripped part of guidewire was successfully caught and extracted out by using a goose-neck snare catheter. Conclusion. A sudden stripping of outer coating of a J-tip diagnostic hydrophilic coronary guidewire during coronary angiography is possible to manage quickly and successfully by the use of a simple cathether.

Subjects

POPLITEAL artery; CORONARY angiography; ELECTIVE surgery; AORTIC valve surgery; SURGICAL complications; HEALTH outcome assessment

Publication

Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2014, Vol 71, Issue 10, p969

ISSN

0042-8450

Publication type

Academic Journal

DOI

10.2298/VSP1410969D