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Traveling Wire After CTO-PCI

06/24/2021

Introduction

Video supplement to "Traveling Wire After Chronic Total Occlusion Percutaneous Coronary Intervention," by Jurado-Román, et al. (July 2021 Clinical Images).

A 72-year-old patient underwent PCI of a right coronary artery (RCA) chronic total occlusion (CTO). During the femoral puncture, a plastic guidewire could not advance, so it was removed. A second fluoroscopy-guided puncture was performed, visualizing a broken piece of the wire apparently at the femoral artery. PCI was successfully completed and a final angiography of the femoral artery confirmed that it remained in the same position, so it was left there. Ten days later, the patient underwent a new coronary angiography for chest pain, which revealed that the wire migrated to the pulmonary artery. This angiographic series illustrates this complication and subsequent snaring of the broken wire.

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