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The entrapped and unravelled coronary wire
Kuan Leong Yew1, Poh Siang Ooi2, Pathma Rajendran3, Farah Razali4, Ainaa Anum5, John Yeo6, Pearly Sim7, Anderson Steven8.
Myocardial infarction is an acute emergency with thrombotic occlusion of a major epicardial coronary artery. Reperfusion strategy for the occluded vessel could be achieved with thrombolysis or percutaneous coronary intervention (PCI). Primary PCI is the preferred choice to open up the occluded vessel. However, for the centres without PCI facility, thrombolytic therapy can be equally effective, especially for the first three hours of infarction. Despite initial successful thrombolysis, there may be concern about culprit vessel reocclusion risk after the index hospitalisation episode. Coronary angiogram would be helpful to delineate the coronary artery and therapeutic coronary stenting could then be done to the culprit lesion. Most operators have their preferred workhorse coronary wire for PCI. It was unexpected for a common workhorse coronary wire to unravel and lengthen after crossing a simple lesion. A simple technique was used to salvage the ensuing entrapped and unravelled coronary wire with a coronary balloon.
Affiliation:
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
- Sarawak General Hospital, Malaysia
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MyJurnal (2019) |
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0 |
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0.000 |
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Scopus (SCImago Journal Rankings 2016) |
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Q3 (Medicine (miscellaneous)) |
Additional Information |
0.248 (SJR) |
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