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Successful non-surgical management of entrapped hydrophilic guidewire during percutaneous coronary intervention

SC Porwal, R Modi, SV Patted, PC Halkatti, A Thakkar & A Sarang

Guidewire breaking or entrapment during the procedure is a rare but well-reported complication of percutaneous coronary intervention. The entrapped guidewire can be managed through intervention, surgery or conservatively depending upon the clinical situation and position of the guidewire. However, the entrapped guidewire leads to serious complications such as thrombosis, occlusion of the coronary vessel or systemic embolism. As far as the authors’ knowledge is concerned, there is no guideline available for optimal management of entrapped guidewire even though such cases have been reported since the beginning of percutaneous intervention era. Here the authors present a case of hydrophilic guidewire entrapment where a different technique for removal was used.