Milenko Čanković1, 2, Vanja Drljević Todić1, 2, Milovan Petrović1, 2, Vladimir Ivanović1, 2, Mila Kovačević1, 2, Aleksandra Milovančev1, 2, Marija Bjelobrk1, 2, Tatjana Miljković1, 2, Mirko Todić1, 2
1Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia - 2Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia
Introduction: An entrapped guidewire is a rare complication of percutaneous coronary intervention (PCI).
Case report: We herein present the case of a 73-year-old female patient diagnosed with myocardial infarction. While performing PCI, all attempts to pull out entrapped guidewire caused longitudinal, accordion-like deformation of the stent implanted in OM. By advancing a small over-the-wire (OTW) balloon to the entangled segment of the wire, a narrow space between the deformed stent and vessel wall was created after balloon inflation, causing the wire to untangle. Re-coronarography was performed 10 days after the initial procedure.
Conclusion: Using optical coherence tomography during complicated PCI, could be of great importance for the evaluation of stent expansion and apposition.
Coronary angioplasty, percutaneous coronary intervention complications, interventional cardiology.