JACC. Case reports · 2026
A Bailout Multiwire Technique for Retrieval of a Deployed Coronary Stent Entrapping a Guidewire.
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Ding Zhenzhen, Chang Shufu, Wu Mengzhang, Qin Qing, Xu Rende, Ma Jianying, Ge Junbo
Аннотация
BACKGROUND: Guidewire entrapment during percutaneous coronary intervention (PCI) is a rare but potentially life-threatening complication. Retrieval becomes particularly challenging when the guidewire is trapped beneath a deployed stent.
CASE SUMMARY: A 72-year-old man with severe calcified left main artery disease underwent PCI. During stent deployment from the left main to the left anterior descending artery, a guidewire in the left circumflex artery became entrapped beneath the stent. After conventional retrieval techniques failed, a bailout strategy using multiple guidewires to entangle and extract the deployed stent was successfully performed.
DISCUSSION: In selected high-risk scenarios, percutaneous retrieval of a deployed stent using a multiwire entanglement technique may be considered when conventional methods fail.
TAKE-HOME MESSAGES: Maintaining a high index of recognition for guidewire entrapment is essential throughout the procedure of PCI. Intentional coronary stent retrieval via a multiwire entanglement technique may serve as a feasible bailout strategy for entrapped guidewires.
CASE SUMMARY: A 72-year-old man with severe calcified left main artery disease underwent PCI. During stent deployment from the left main to the left anterior descending artery, a guidewire in the left circumflex artery became entrapped beneath the stent. After conventional retrieval techniques failed, a bailout strategy using multiple guidewires to entangle and extract the deployed stent was successfully performed.
DISCUSSION: In selected high-risk scenarios, percutaneous retrieval of a deployed stent using a multiwire entanglement technique may be considered when conventional methods fail.
TAKE-HOME MESSAGES: Maintaining a high index of recognition for guidewire entrapment is essential throughout the procedure of PCI. Intentional coronary stent retrieval via a multiwire entanglement technique may serve as a feasible bailout strategy for entrapped guidewires.