| Summary: | Introduction. Entrapment and fracture of diagnostic or therapeutic devices
within the coronary circulatory system are a rare, but increasing problem.
Case report. A 70-yearold man was admitted in our clinic for coronary
angiography before the planned aortic valve replacement. An arterial sheath
was inserted in the right common femoral artery. After introducing a J-tip
diagnostic coronary guidewire into the aorta and advancing a left Judkins
diagnostic catheter over it, suddenly occured peeling off of the wire´s
hydrophilic coating at the aortic arch level. Very soon, this outer coating
of guidewire carried by the blood stream was entered into the left femoral
artery, then into the left popliteal artery. This stripped part of guidewire
was successfully caught and extracted out by using a goose-neck snare
catheter. Conclusion. A sudden stripping of outer coating of a J-tip
diagnostic hydrophilic coronary guidewire during coronary angiography is
possible to manage quickly and successfully by the use of a simple cathether.
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