Fani Suslina Hasibuan1, Jordan Budiono1*, Indah Fitriani1 and Achmad Fauzi Yahya2
1Department of Cardiovascular Medicine, RSUD Dr. R. Koesma Tuban, East Java, Indonesia
2Department of Cardiovascular Medicine, Hasan Sadikin General Hospital, West Java, Indonesia
*Corresponding author: Jordan Budiono, Wonorejo Permai Timur DD-29, Surabaya 60296, Indonesia.
E-mail: jordanbudiono1@gmail.com.
Background: Guide wire fracture and entrapment during coronary intervention are rare but serious complications. These incidents can lead to thromboembolism, vessel perforation, and thrombosis, necessitating immediate and careful intervention.
Case Report: We present a case involving a male patient undergoing PCI for a chronic total occlusion (CTO) of the right coronary artery (RCA), where a guide wire became entangled and entrapped under a deployed stent, requiring complex percutaneous techniques. Despite prolonged efforts using multiple retrieval strategies, the wire fractured. The remnant was securely embedded with a stent and post-dilated. The patient recovered without event.
Conclusion: Entrapped guide wires represent a rare yet serious complication in PCI. When extraction is unfeasible, stenting over the remnant with adequate post-dilation is a viable and safe alternative.
Keywords: Guide wire entrapment; PCI; Wire fracture; Chronic total occlusion
