Successful percutaneous removal of broken mitral valvuloplasty coiled tip guidewire

Shivananda Patil1, Ashish Agarwal1, Rangaraj Ramalingam1, Tarun Kumar1, Neena Agarwal2, Cholenahally N. Manjunath1
1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
2Department of Emergency Medicine, Kempe Gowda Institute of Medical Sciences, Bangalore, India

Tóm tắt

Complications related to hardware malfunction during balloon mitral valvuloplasty (BMV) are rarely met in catheterization laboratory. However, the consequences can be grave including death. We report an extremely rare complication of fracture of BMV coiled tip guidewire, which was successfully retrieved percutaneously with a relatively simple technique. Finally the procedure was completed without any complication.

Từ khóa


Tài liệu tham khảo

Inoue K, Owaki T, Nakamura T, Kitamura F, Miyamoto N. Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Thorac Cardiovasc Surg. 1984;87:394–402. Manjunath CN, Gerald D, Srinivasa KH, Patil CK, Venkatesh HV, et al. The Indian experience of percutaneous transvenous mitral commissurotomy: comparison of the triple lumen (Inoue) and double lumen (Accura) variable sized single balloon with regard to procedural outcome and cost savings. J Interv Cardiol. 1998;11:107–12. Manjunath CN, Srinivasa KH, Patil CB, Venkatesh HV, Bhoopal TS, Dhanalakshmi C. Balloon mitral valvuloplasty: our experience with a modified technique of crossing the mitral valve in difficult cases. Cathet Cardiovasc Diagn. 1998;44:23–6. Ullah M, Majumder AAS, Rahman Z. Foreign body removal from left atrium following successful PTMC—a case report. Cardiovasc J. 2010;3:85–8. Shankarappa RK, Panneerselvam A, Dwarakaprasad R, Nayak MH, Nanjappa MC. Removal of broken balloon mitral valvotomy coiled guidewire from giant left atrium using indigenous snare. Cardiovasc Interv Ther. 2011;26:60–3. Candemir B, Polat K, Canbay A. Percutaneous extraction of a short, 0.038-inch guide wire retained in the right common iliac artery. Türk Kardiyol Dern Arº: Arch Turk Soc Cardiol 2008; 36:479–81.