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      Snare-Assisted Retrieval of an Embolized Long Coronary Guidewire From the Aortic Arch

      case-report
      1 , 2 , 2 , 3 , 2 ,
      ,
      Cureus
      Cureus
      guidewire, coronary, embolized, retrieval, assisted, snare

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          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.

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          Most cited references6

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          A Practical Approach to the Management of Complications During Percutaneous Coronary Intervention

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            Broken guidewire fragment: a simplified retrieval technique.

            We report a technique for retrieval of a broken angioplasty wire fragment from the coronary system using a more simplified technique that does not involve the use of a snare or any other retrieval tool. With the use of an additional angioplasty wire and a balloon catheter, we could safely remove the broken wire fragment from the coronary system and circulation in a very short time.
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              Fracture and dislodgment of floppy guidewire during percutaneous transluminal coronary angioplasty.

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                5 May 2024
                May 2024
                : 16
                : 5
                : e59707
                Affiliations
                [1 ] Cardiology, SUM Hospital, Bhubaneswar, IND
                [2 ] Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
                [3 ] Cardiothoracic Vascular Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
                Author notes
                Article
                10.7759/cureus.59707
                11150896
                38841033
                992a5668-e07d-4603-a1a7-48afc10036a8
                Copyright © 2024, Mahanta et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 5 May 2024
                Categories
                Internal Medicine
                Cardiac/Thoracic/Vascular Surgery
                Cardiology

                guidewire,coronary,embolized,retrieval,assisted,snare
                guidewire, coronary, embolized, retrieval, assisted, snare

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