Myocardial Ischemia from Guidewire Complication During Heart Procedure
Author Information
Author(s): Gavrielatos Gerasimos, Pappas Loukas K, Anthopoulos Prodromos, Salachas Anastasios, Ifantis Georgios, Antonellis Ioannis
Primary Institution: Evangelismos General Hospital, Athens, Greece
Conclusion
The accordion phenomenon can cause temporary narrowing and myocardial ischemia during coronary interventions, but it is reversible by withdrawing the guidewire.
Supporting Evidence
- The accordion phenomenon is a known issue during coronary interventions.
- Withdrawal of the guidewire can resolve the accordion effect.
- The patient experienced severe chest pain and ECG changes during the procedure.
- Stenting was performed due to persistent symptoms despite initial interventions.
Takeaway
Sometimes, when doctors use stiff wires to fix heart arteries, it can make them look blocked, but pulling the wire out can fix the problem.
Methodology
A case report detailing the use of guidewires and stenting during a percutaneous coronary intervention.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 60-year-old female with a history of hypertension and dyslipidemia.
Digital Object Identifier (DOI)
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