Frontiers in Materials (Jun 2023)

Fracture and dislodgment of a guidewire retrieved by a Solitaire AB neurovascular remodeling device

  • Zhengli Liu,
  • Boxiang Zhao,
  • Xu He,
  • Jianping Gu,
  • Maofeng Gong,
  • Jie Kong

DOI
https://doi.org/10.3389/fmats.2023.1177468
Journal volume & issue
Vol. 10

Abstract

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Background: Guidewire fracture and dislodgment are very rare but can cause serious complications.Method: A case was reported where part of the guidewire was blocked to the posterior tibial. We attempted to remove it using a Solitaire AB Neurovascular Remodeling Device.Result: A Solitaire AB Neurovascular Remodeling Device was successfully used to remove the fracture and dislodgment of a guidewire. There were no complications during the removal of the guidewire.Conclusion: A Solitaire AB can be used to remove a fractured guidewire, which is a simple and effective method to reduce complications. The Solitaire stent gradually crimped and tightened to form a dense inverted conical meshwork, similar to the “trans embolic protection device.” We can use minimally invasive methods to remove a broken and displaced guidewire within the vascular lumen.

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