PMC4857346_01
RAO image showing 95% lesion in distal LAD with TIMI 2 flow.. RAO: right anterior oblique; LAD: left anterior descending; TIMI: Thrombolysis in Myocardial Infarction.
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Image showing broken guidewire in distal LAD with TIMI 1 flow.. LAD: left anterior descending; TIMI: Thrombolysis in Myocardial Infarction.
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TIMI 1 flow in the distal LAD (Figure 2). The decision was made to leave the segment of broken guidewire within the small caliber distal LAD, as risks of complication from further manipulation would have exceeded the potential benefits (Figure 3).
Image without contrast showing broken guidewire with its tip in distal LAD.. LAD: left anterior descending.
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TIMI 1 flow in the distal LAD (Figure 2). The decision was made to leave the segment of broken guidewire within the small caliber distal LAD, as risks of complication from further manipulation would have exceeded the potential benefits (Figure 3).
PMC4857346_02
Image showing lesion in distal left circumflex coronary artery.
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Her medical comorbidities include a known retained guidewire from a failed PTCA, a 6-cm segment of a Whisper 0.014 x 190 cm Hi-Torque wire, located in the left circumflex artery (LCX), in addition to HTN, diabetes mellitus, and peripheral vascular disease (Figures 4-7).
Image showing ballooning of lesion in distal circumflex coronary artery.
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Her medical comorbidities include a known retained guidewire from a failed PTCA, a 6-cm segment of a Whisper 0.014 x 190 cm Hi-Torque wire, located in the left circumflex artery (LCX), in addition to HTN, diabetes mellitus, and peripheral vascular disease (Figures 4-7).
Image showing broken guidewire with TIMI 2 flow in distal left circumflex coronary artery.. TIMI: Thrombolysis in Myocardial Infarction.
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Her medical comorbidities include a known retained guidewire from a failed PTCA, a 6-cm segment of a Whisper 0.014 x 190 cm Hi-Torque wire, located in the left circumflex artery (LCX), in addition to HTN, diabetes mellitus, and peripheral vascular disease (Figures 4-7).
Image without contrast showing 6-cm broken guidewire in the entire left circumflex coronary artery.
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Her medical comorbidities include a known retained guidewire from a failed PTCA, a 6-cm segment of a Whisper 0.014 x 190 cm Hi-Torque wire, located in the left circumflex artery (LCX), in addition to HTN, diabetes mellitus, and peripheral vascular disease (Figures 4-7).
Twelve-month follow-up image showing TIMI 0 flow in distal left circumflex coronary artery with patent first obtuse marginal artery.. TIMI: Thrombolysis in Myocardial Infarction.
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The distal portion of the LCX containing the retained guidewire was noted to be occluded (Figures 8 and 9).
Twelve-month follow-up image without contrast showing unchanged 6-cm broken guidewire in the entire left circumflex coronary artery.
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The distal portion of the LCX containing the retained guidewire was noted to be occluded (Figures 8 and 9).