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Case Reports in Cardiology
Volume 2018, Article ID 9210764, 3 pages
https://doi.org/10.1155/2018/9210764
Case Report

Optical Coherence Tomographic Study of a Chronically Retained Coronary Guidewire

Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK

Correspondence should be addressed to Alisdair Ryding; ku.shn.hunn@gnidyr.riadsila

Received 31 October 2017; Accepted 5 February 2018; Published 26 February 2018

Academic Editor: Expedito E. Ribeiro

Copyright © 2018 Natasha Corballis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Guidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, which could not be retrieved. Using optical coherence tomography, our case demonstrates extensive tissue coverage of the retained guidewire at twelve months. Five-year follow-up suggests that retained guidewires can be managed without long-term anticoagulation, even when there is substantial intra-aortic material.