Case 88: PCI Manual - Wire entrapment and fracture

[@matheuscsmed]

Thank you, Matheus Silva

[@MinorityDoc]

Thanks for posting

[@freaktty01]

Thank for sharing. Is it possible to push a ballon or microcatheter over the trapped wire (very) hard into the LAD? To free the distal part?

[@mohamedkishkt3667]

thanks for informative approach

[@TheNEF11]

What was the mechanism of the entrapment? did the wire go through the first Stent-strut (LAD-Stent) and knuckled during pulling it back out of the vessel?
thank you very much for sharing & educating! very interesting case!

[@durgaprasad-nv2cd]

Good case and very well managed
Thank you sir

[@llacielona]

thank you for sharing! I still don`t get it how the wire got trapped?

[@manosbrilakis]

The wire prolasped into the LAD during stent delivery attempts. We did not realize this and stented the LAD jailing the prolapsed portion of the wire.

[@doctorcardio3886]

@@manosbrilakis there is an old stent in lad seen on Angio. Did you put fresh stent in lad? Not shown in the video.

[@cristimilitaur]

How do you think the wire got trapped? Did it get entangled in the old LAD stent?

[@shangz0216]

Thanks for sharing！