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Korean Circ J. 2013 Nov;43(11):761-5. doi: 10.4070/kcj.2013.43.11.761. Epub 2013 Nov 30.

Fatal subacute stent thrombosis induced by guidewire fracture with retained filaments in the coronary artery.

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  • Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.


During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis. There are several methods being recommended for the treatment of fractured guidewire remnants. However, the best treatment of remnant guidewire filament is still unclear. Herein, we present a case where we did not completely remove remnant guidewire filaments that caused fatal coronary thrombosis.


Complications; Percutaneous; Stents; Thrombosis

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