{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:16:51Z","timestamp":1788239811626,"version":"build-2803163510"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Guidewire fracture during percutaneous coronary intervention (PCI) is rare but serious, with management dependent on fracture characteristics. We report an innovative minimally invasive hybrid approach for this complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 59-year-old male with diabetes\/hypertension developed Sion guidewire fracture during LAD PCI. Percutaneous retrieval failed; conservative therapy was initially given. A minimally invasive hybrid \u201ctrans-brachial arteriotomy with endoluminal traction\u201d retrieved the fragment 34 days post-fracture, with uneventful recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Guidewire fracture occurs in 0.2%\u20130.8% of PCI cases. Histopathological evidence suggests that at 34 days, incomplete endothelialization facilitates rather than hinders retrieval. Although no standard retrieval window exists, delayed elective retrieval can achieve high success rates in stable patients. Traditional open surgery is traumatic; our hybrid approach avoids sternotomy, offering a novel salvage strategy valuable for interventional cardiologists and surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take home messages<\/jats:title>\n                    <jats:p>Minimally invasive hybrid retrieval is safe and effective for PCI guidewire fractures refractory to percutaneous methods, emphasizing the value of multidisciplinary collaboration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2026.1846838","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:26:21Z","timestamp":1788236781000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive hybrid retrieval of a fractured sion guidewire during transcatheter coronary intervention: a case report of multidisciplinary collaborative management"],"prefix":"10.3389","volume":"13","author":[{"given":"Xianliang","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Cardiology, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiming","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yijing","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengxing","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"S49","DOI":"10.1016\/j.ihj.2015.07.025","article-title":"Broken guidewire\u2014a tale of three cases","volume":"67","author":"Datta","year":"2016","journal-title":"Indian Heart J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"260","DOI":"10.2174\/1573403X11309030010","article-title":"Management of retained intervention guide-wire: a literature review","volume":"9","author":"Al-Moghairi","year":"2013","journal-title":"Curr Cardiol Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"ytae341","DOI":"10.1093\/ehjcr\/ytae341","article-title":"Consequences and management of guidewire fracture-entrapment in the left circumflex artery: a case report","volume":"8","author":"Paul","year":"2024","journal-title":"Eur Heart J Case Rep"},{"key":"B4","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1002\/jbm.b.31660","article-title":"Histomorphology of thrombus organization, neointima formation, and foreign body response in retrieved human aneurysms treated with hydrocoil devices","volume":"94","author":"Killer","year":"2010","journal-title":"J Biomed Mater Res B Appl Biomater"},{"key":"B5","doi-asserted-by":"publisher","first-page":"87","DOI":"10.4261\/1305-3825.DIR.4098-10.1","article-title":"Interventional radiological retrieval of embolized vascular access device fragments","volume":"18","author":"\u00d6nal","year":"2012","journal-title":"Diagn Interv Radiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e217685","DOI":"10.14503\/THIJ-21-7685","article-title":"Management of guidewire entrapment and fracture during percutaneous coronary intervention: when all bailout techniques fail!","volume":"50","author":"Sharma","year":"2023","journal-title":"Tex Heart Inst J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"105157","DOI":"10.1016\/j.jaccas.2025.105157","article-title":"Itaru\u2002takamisawa.retrieval of an undeflatable balloon during percutaneous coronary intervention in combination with small thoracotomy","volume":"30","author":"Okabe","year":"2025","journal-title":"JACC Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e70612","DOI":"10.1002\/ccr3.70612","article-title":"Accidental stent extraction following a rescue manipulation to retrieve a lost coronary guidewire: a very rare complication","volume":"13","author":"Dadkhah","year":"2025","journal-title":"Clin Case Rep"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2026.1846838\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:26:22Z","timestamp":1788236782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2026.1846838\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":8,"alternative-id":["10.3389\/fcvm.2026.1846838"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2026.1846838","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"article-number":"1846838"}}