关键词: assisted coronary embolized guidewire retrieval snare

来  源:   DOI:10.7759/cureus.59707   PDF(Pubmed)

Abstract:
We report an extremely rare case of gooseneck snare-assisted retrieval of an embolized coronary guidewire from the aortic arch in an elderly male scheduled for a transradial coronary angiogram for unstable angina. In this case, the proximal end of the embolized coronary guidewire could not be retrieved from the brachial artery nor the roomy aortic root using a flower petal snare. The key takeaway from this case is that an embolized coronary guidewire can be successfully retrieved with a gooseneck snare from its proximal end in a moderately spacious area like the aortic arch.
摘要:
我们报告了一例极为罕见的病例,该病例是在老年男性中进行经桡动脉冠状动脉造影以治疗不稳定型心绞痛的情况下,鹅颈圈套器辅助从主动脉弓取回栓塞的冠状动脉导丝。在这种情况下,使用花瓣圈套器无法从肱动脉或主动脉根部取回栓塞的冠状动脉导丝的近端。从这种情况下的关键结论是,可以在诸如主动脉弓之类的中等宽敞区域中,用鹅颈圈套器从近端成功取回栓塞的冠状动脉导丝。
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