Multi-vessel percutaneous coronary intervention complicated by broken wire and successfully treated with triple anticoagu-Lants

Side branch wiring is used to protect side branch flow after main vessel stenting. Rarely, it becomes difficult to retrieve the jailed wire behind the stent and therefore it may even be detached and remain in the circulation. Retained fractured guidewire fragments are rarely encountered during percutaneous coronary intervention, but may cause serious morbidity and mortality. We present a 52-year old diabetic patient who was diagnosed with ST-Elevation Myocardial Infarction and developed recurrent Non-ST-Elevation Myocardial Infarction with persistent angina. He was treated with staged Percutaneous Coronary Intervention for three-vessel disease. The patient had fractured remnant of guide wire in the Left Circumflex Obtuse Marginal Branch and did not experience any serious complications during a 01-year clinical follow up period. He was successfully treated with triple anticoagulation without peri procedure complications. Four months of follow-up coronary angiography revealed no in-stent restenosis.