case_images: PMC2823045_01
case_images: A. A broken 0.014" guidewire retained in a left radio-brachial artery. B. Retrieval using a snare was attempted several times but failed. C. The distal part of the broken 0.014" guidewire inside of the guiding catheter. D. Another 0.014" guidewire was passed alongside the broken wire. E. Balloon catheter was positioned alongside the broken wire inside of the distal tip of the guiding catheter. F. Balloon was inflated in the guiding catheter and the guiding catheter was withdrawn.
case_images: ymj-46-166-g001.jpg
case_images: PMC2823045_01_ymj-46-166-g001.jpg
case_images: F1
case_images: While trying to advance the arterial sheath, the wire was broken (Fig. 1A). Retrieval using a snare wire (FSF-21-300, Cook, Inc., Bloomington, IN, USA) was attempted several times, but the attempts were unsuccessful in catching the wire (Fig. 1B). During these attempts, the 0.014" guidewire was caught in the inside of the guiding catheter (Fig. 1C). At this moment, we decided to trap the broken guidewire tip inside the guiding catheter, and thus, we introduced the 0.014" Choice PT (Boston Scientific Scimed, MN) guidewire and balloon catheter (MAVERICK 2.5-20 mm, Boston Scientific Scimed, MN) over it (Fig. 1D). The balloon catheter was placed alongside the wire at the distal portion of the guiding catheter, where the balloon catheter was fully inflated at 4 atm to trap the broken guidewire (Fig. 1E). The whole system was pulled back while the balloon was inflated (Fig. 1F).