MedStar Authors catalog › Details for: Retained coronary guidewire extending to the right axillary artery.
Normal view MARC view ISBD view

Retained coronary guidewire extending to the right axillary artery.

by Ali, Laith; Garcia-Garcia, Hector M; Ghazzal, Amre; Hashim, Hayder; Sallam, Tariq.
Citation: Cardiovascular Revascularization Medicine. 2019 Oct 31.Journal: Cardiovascular revascularization medicine : including molecular interventions.Published: 2019; ISSN: 1878-0938.Full author list: Ali L; Garcia-Garcia HM; Ghazzal A; Hashim H; Sallam T.UI/PMID: 31780420.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1016/j.carrev.2019.10.018 (Click here) Abbreviated citation: Cardiovasc Revasc Med. 2019 Oct 31.Local Holdings: Available in print through MWHC library: 2002 - present.Abstract: 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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