[Embolization of hydrophilic guide wire coating]

Pathologe. 2012 Jul;33(4):345-7. doi: 10.1007/s00292-012-1588-6.
[Article in German]

Abstract

The number of interventional cardiovascular procedures has been rising steadily. Such procedures include the intravascular insertion of catheters and guide wires. These devices consist of a metallic core and coil that may be covered by hydrophilic coating to ease crossability and control for challenging lesions. We report two cases where insertion of a ChoICE® PT guide wire into the coronary artery led to embolization of the hydrophilic coating material with occlusion of small intramyocardial arteries.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation*
  • Coated Materials, Biocompatible / adverse effects*
  • Coronary Restenosis / pathology
  • Coronary Restenosis / therapy
  • Coronary Stenosis / pathology
  • Coronary Stenosis / therapy*
  • Coronary Thrombosis / pathology*
  • Coronary Vessels* / pathology
  • Embolism / pathology*
  • Fatal Outcome
  • Foreign-Body Reaction / pathology
  • Humans
  • Hydrophobic and Hydrophilic Interactions*
  • Hypoxia-Ischemia, Brain / pathology*
  • Male
  • Middle Aged
  • Multiple Organ Failure / pathology
  • Myocardial Infarction / pathology
  • Myocardial Infarction / therapy*
  • Myocardium / pathology
  • Pneumonia, Aspiration / pathology*
  • Retreatment
  • Stents / adverse effects*

Substances

  • Coated Materials, Biocompatible