A retained guidewire fractured with subsequent pericardial tamponade two years after endovascular neurointervention

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Zongli HanHui Qi

Abstract

Entrapment of aneurysm embolization hardware is an extremely rare complication of endovascular neurointerventional procedures. We describe a case of a retained guidewire in a 42-year-old male during an aneurysm embolization. After unsuccessful attempts at removal via interventional methods, we decided to leave the guidewire within the vessel. A guidewire fracture resulted in several fragments in the carotid artery and aorta with subsequent cardiac tamponade, pseudoaneurysm and aortojejunal fistula two years later. The fragments in the aorta were removed via interventional and surgical methods. We advocate early surgical management of the retained guidewires after unsuccessful retractions via interventional methods. Meticulous and gentle maneuvering is necessary to prevent such serious complications.

References

Nov 6, 2014·Journal of Korean Neurosurgical Society·Jae Hoon Cho
Jan 31, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Barbara A DanekEmmanouil S Brilakis

❮ Previous
Next ❯

Citations

Jul 28, 2020·The Journal of Vascular Access·Maryanne Z A MariyaselvamPeter J Young

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection
PCA
X-ray

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.