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  • Title: How should I treat a patient to remove a fractured jailed side branch wire?
    Author: Owens CG, Spence MS.
    Journal: EuroIntervention; 2011 Aug; 7(4):520-7. PubMed ID: 21764672.
    Abstract:
    BACKGROUND: A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis. INVESTIGATIONS: Coronary angiography, intravascular ultrasound. DIAGNOSIS: Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire. TREATMENT: Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
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