Normal view MARC view ISBD view

Retained Coronary Guidewire Extending to the Right Axillary Artery.

MedStar author(s):

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: 2020 Local holdings: Available in print through MWHC library: 2002 - presentISSN:

1878-0938

Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: 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.All authors: Ali L, Garcia-Garcia HM, Ghazzal A, Hashim H, Sallam TOriginally published: Cardiovascular Revascularization Medicine. 2019 Oct 31Fiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1016/j.carrev.2019.10.018

Date added to catalog: 2019-12-17

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
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.

English