Improvised loop snare and twisting guidewire techniques for management of a fractured coronary intervention guidewire: A case report

A 75-year-old female underwent a second coronary angiogram which was complicated by fracture and entrapment of a guidewire in the left anterior descending (LAD) artery. A snare loop and twisting guide techniques were utilized with an improvised snare wire to retrieve the entrapped guidewire from the LAD, and two new stents were successfully deployed. The snaring technique and twisting guide are unique methods for percutaneous extraction and can be utilized for stent and fracture guidewire removal. These techniques, outlined in our case, can be used as a safe and effective approach. • Unique Techniques : Successfully utilized an improvised loop snare and twisting guidewire techniques to retrieve a fractured guidewire during percutaneous coronary intervention (PCI). • Resourcefulness in Cardiology : Demonstrates innovation in managing complications when commercial devices are unavailable. • Non-surgical Solution : Avoided surgical intervention by employing minimally invasive retrieval methods for the fractured guidewire. • Practical Implications : Highlights the effectiveness of adaptable approaches in high-risk cardiac procedures. • Case Significance : Case presented at Cardiovascular Research Technologies (CRT) 2024 , showcasing its relevance to contemporary interventional cardiology.