Traveling Wire After CTO-PCI

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.

To read full article, Click Here