{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T06:08:01Z","timestamp":1778998081001,"version":"3.51.4"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Device\u2010related complications during percutaneous coronary intervention (PCI), such as catheter or balloon shaft separation, are uncommon but potentially life\u2010threatening. Effective retrieval techniques are crucial to avoid surgical intervention. We report a rare case of simultaneous separation of a guide extension catheter tip and balloon shaft, successfully managed using a two\u2010wire and snare technique. A 58\u2010year\u2010old man with a history of familial hypercholesterolemia underwent PCI for in\u2010stent restenosis in the mid right coronary artery (RCA), previously treated with a sirolimus\u2010eluting stent. After successful lesion preparation using a scoring balloon and drug\u2010coated balloon via a 6\u2010Fr guide extension catheter, the extension catheter became stuck in a tortuous segment. Attempted withdrawal resulted in distal tip separation. A 2.0\u2010mm balloon was deployed inside the tip for trapping, but during retrieval the balloon shaft itself fractured. To retrieve both fragments, a second guidewire was advanced outside the separated tip with the aid of a microcatheter, followed by deployment of a Goose Neck snare. The snare successfully grasped the initial guidewire, enabling the en bloc retrieval of both the guide extension tip and the broken balloon shaft. No complications occurred, and final angiography confirmed optimal flow. This case illustrates a practical and effective two\u2010wire plus snare technique for managing simultaneous device fragment separation during PCI. Familiarity with bailout strategies such as this may help avoid surgical retrieval or further complications in similar settings.<\/jats:p>","DOI":"10.1002\/ccd.31721","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T23:44:33Z","timestamp":1750981473000},"page":"1570-1573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dual Device Fragment Retrieval Using Two\u2010Wire and Snare Technique During Percutaneous Coronary Intervention: A Case of Guide Extension Tip and Balloon Shaft Separation"],"prefix":"10.1002","volume":"106","author":[{"given":"Akihiro","family":"Okamoto","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka Metropolitan University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3542-3559","authenticated-orcid":false,"given":"Takanori","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka Metropolitan University Graduate School of Medicine Osaka Japan"},{"name":"Department of Cardiology Osaka City General Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2576-9409","authenticated-orcid":false,"given":"Tomohiro","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka Metropolitan University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daiju","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka Metropolitan University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1571469"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726x(200012)51:4<432::aid-ccd12>3.0.co;2-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574418761270"},{"issue":"7","key":"e_1_2_6_5_1","first-page":"173","article-title":"Percutaneous Retrieval of Entrapped Partially Inflated Broken Coronary Angioplasty Balloon by Modified Fogarty Technique","volume":"23","author":"Girish M. P.","year":"2011","journal-title":"Journal of Invasive Cardiology"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726x(200012)51:4<483::aid-ccd24>3.0.co;2-f"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31721","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31721","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31721","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T05:34:49Z","timestamp":1778996089000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31721"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/ccd.31721"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31721","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,26]]},"assertion":[{"value":"2025-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}