{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:52Z","timestamp":1786125172203,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2017,12,2]],"date-time":"2017-12-02T00:00:00Z","timestamp":1512172800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>Microguidewire entrapment and failure related to endovascular therapy is a rare complication with limited case reports available, most of which are from cardiac endovascular intervention. Migration of the microguidewire has been reported in coronary intervention with some resulting in severe complications, but there are no reported cases of spontaneous extrusion of wire fragment following a neurointerventional procedure. We report the first case of a microguidewire entrapment with subsequent fracture, followed by spontaneous extrusion of the wire fragment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION<\/jats:title>\n                    <jats:p>A 40-yr-old woman was admitted for an elective flow-diversion stent treatment of an unruptured paraophthalamic aneurysm. Microguidewire entrapment occurred during an attempted balloon-aided dilatation of the partially opened stent. Careful attempts failed to retrieve the wire; hence, the decision was made to leave it behind. She presented to her family doctor 6 mo later with spontaneous extrusion of a 60-cm fragment of the retained wire, from her heel ipsilateral to the femoral puncture site. This had not resulted in any further vascular or non-vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Fracture with extrusion is a potential consequence of a retained microguidewires. While this is an extremely rare complication, it is important to alert clinicians and patient about the possibility of wire migration and extrusion. Early follow-up with clinical assessment, and targeted imaging should lead to identification of this occurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx237","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T16:38:25Z","timestamp":1512146305000},"page":"213-216","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous Microguidewire Extrusion From the Foot Following Cerebral Aneurysm Treatment: First Case Report"],"prefix":"10.1227","volume":"15","author":[{"given":"Kurdow","family":"Nader","sequence":"first","affiliation":[{"name":"Department of Radiology, Queen Eliza-beth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleh","family":"Lamin","sequence":"additional","affiliation":[{"name":"Department of Radiology, Queen Eliza-beth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Leyon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Queen Eliza-beth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swarupsinh","family":"Chavda","sequence":"additional","affiliation":[{"name":"Department of Radiology, Queen Eliza-beth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Radiology, Queen Eliza-beth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarin","family":"Kuruvath","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birming-ham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,8]]},"reference":[{"issue":"1","key":"bib1-20240909","first-page":"31","article-title":"Torquability of microcatheter guidewires: the resulting torsional moment","volume":"10","author":"Ceschinski","year":"2000","journal-title":"Biomed Mater Eng"},{"issue":"5","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"638","DOI":"10.3348\/kjr.2011.12.5.638","article-title":"Guidewire breakage during neurointerventional procedures: a report of two cases","volume":"12","author":"Lee","year":"2011","journal-title":"Korean J 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artery","volume":"23","author":"Miyashita","year":"2011","journal-title":"J Invasive Cardiol"},{"issue":"2","key":"bib10-20240909","first-page":"327","article-title":"A new device for endovascular coil retrieval from intracranial vessels: alligator retrieval device","volume":"27","author":"Henkes","year":"2006","journal-title":"Am J Neuroradiol"},{"issue":"2","key":"bib11-20240909","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1159\/000336489","article-title":"Extravascular migration of a guide wire with perforation of the heart eight months after percutaneous coronary intervention: consequence of a conservative approach","volume":"121","author":"De Praetere","year":"2012","journal-title":"Cardiology"}],"container-title":["Operative 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