{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:24:50Z","timestamp":1769041490970,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Coronary guidewire entrapment is not an uncommon complication of percutaneous coronary intervention, especially in the setting of complex coronary anatomy. Core wire fracture with uncoiling of spring wire represents a catastrophic complication, posing great technical difficulty in percutaneous retrieval.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>The patient was a 50-year-old Asian male with ischaemic cardiomyopathy and severe left ventricular impairment. Coronary angiography showed severe left main and triple-vessel disease. Coronary artery bypass graft was declined due to high surgical risk. Percutaneous coronary intervention was performed under mechanical circulatory support. However, it was complicated with guidewire entrapment and unravelling with deformity of the newly implanted stent in the left anterior descending artery. The complication was successfully bailed out by rotational atherectomy and the novel intravascular ultrasound (IVUS) and enhanced stent visualization (ESV) system guided \u2018Twist-wire\u2019 technique. Complete wire fragments retrieval was achieved with excellent final angiographic and IVUS results immediately after procedure and at 4-month follow-up angiography.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case represents a rare phenomenon of branch point protrusion of stent causing guidewire-stent edge entanglement. A novel \u2018Twist-wire\u2019 technique with IVUS and ESV guidance was highlighted to allow successful retrieval of fluoroscopically invisible uncoiled wire filaments.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae258","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T18:35:42Z","timestamp":1716230142000},"source":"Crossref","is-referenced-by-count":1,"title":["Unprecedented guidewire entrapment salvaged by combined rotational atherectomy and \u2018Twist-wire\u2019 technique: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9326-2648","authenticated-orcid":false,"given":"Siu-Fung","family":"Wong","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine & Geriatrics, United Christian Hospital , 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiu-Cheong","family":"Chow","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine & Geriatrics, United Christian Hospital , 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tak-Shun","family":"Chung","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine & Geriatrics, United Christian Hospital , 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR , China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"2024053017275373500_ytae258-B1","first-page":"215","article-title":"Frequency, treatment, and consequences of device loss and entrapment in contemporary percutaneous coronary interventions","volume":"24","author":"Iturbe","year":"2012","journal-title":"J Invasive Cardiol"},{"key":"2024053017275373500_ytae258-B2","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.carrev.2015.12.005","article-title":"Consequences and treatment of guidewire entrapment and fracture during percutaneous coronary intervention","volume":"17","author":"Danek","year":"2016","journal-title":"Cardiovasc Revasc Med"},{"key":"2024053017275373500_ytae258-B3","first-page":"79","article-title":"Septal wire entrapment during recanalisation of a chronic total occlusion with the retrograde approach","volume":"52","author":"Sianos","year":"2011","journal-title":"Hellenic J Cardiol"},{"key":"2024053017275373500_ytae258-B4","first-page":"E61","article-title":"Management of guidewire entrapment with laser atherectomy","volume":"29","author":"Karacsonyi","year":"2017","journal-title":"J Invasive Cardiol"},{"key":"2024053017275373500_ytae258-B5","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1016\/j.jaccas.2021.09.018","article-title":"Wire cutting method using rotational atherectomy for stretched spring wire during coronary intervention","volume":"3","author":"Tanaka","year":"2021","journal-title":"JACC Case Rep"},{"key":"2024053017275373500_ytae258-B6","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.carrev.2016.01.013","article-title":"Twisting wire technique: an effective method to retrieve fractured guide wire fragments from coronary arteries","volume":"17","author":"Devidutta","year":"2016","journal-title":"Cardiovasc Revasc Med"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae258\/57768412\/ytae258.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/5\/ytae258\/58011164\/ytae258.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/5\/ytae258\/58011164\/ytae258.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T20:39:43Z","timestamp":1717101583000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae258\/7676702"}},"subtitle":[],"editor":[{"given":"Francesco","family":"Moroni","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Hesham","family":"Bahaa","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Antonios","family":"Karanasos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marta","family":"Peverelli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae258","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,5]]},"published":{"date-parts":[[2024,5]]},"article-number":"ytae258"}}