Cardiovascular Revascularization Medicine 16 (2015) 131
Contents lists available at ScienceDirect
Cardiovascular Revascularization Medicine
Letter to the Editor
Another way to skin a cath We enjoyed the discussion of treatment of entrapped devices after PCI (I. Alomari, et al., Cardiovascular Revascularization Medicine 15 (2014)182-185), There is a wide discussion in both the case report as well as literature review about wire retention. Working off of Hartzler's original report in 1987, we developed a small device for removal of entrapped small devices such as guidewires as described in this case(Fig. 1). Dr. Hartzler used two wires to capture embolized devices; we simply placed a wire in a wire. The Micro Elite snare we found to be very effective when small pieces of wire have been retained in cases. We noticed the discussion of other retrieval devices in Table 2 of Dr. Alomari's article. The discussion did not include the Micro Elite snare, which we found to be very effective for cases such as described. If there is no flow limitation, we sometimes deploy a stent to press the wire into the wall if
Fig. 1. A picture of three Micro Elite snares.
1553-8389/© 2014 Elsevier Inc. All rights reserved.
it truly cannot be removed; however, with the Micro Elite snare, this is rarely necessary.
Richard R. Heuser St. Luke's Medical Center, University of Arizona College of Medicine, 555 N. 18th Street, Suite 300, Phoenix Arizona 85006. Tel.: +1 602 234 0004; fax: +1 602 254 1109 E-mail addresses: [email protected] [email protected]
http://dx.doi.org/10.1016/j.carrev.2014.10.010
Contents lists available at ScienceDirect
Cardiovascular Revascularization Medicine
Letter to the Editor
Another way to skin a cath We enjoyed the discussion of treatment of entrapped devices after PCI (I. Alomari, et al., Cardiovascular Revascularization Medicine 15 (2014)182-185), There is a wide discussion in both the case report as well as literature review about wire retention. Working off of Hartzler's original report in 1987, we developed a small device for removal of entrapped small devices such as guidewires as described in this case(Fig. 1). Dr. Hartzler used two wires to capture embolized devices; we simply placed a wire in a wire. The Micro Elite snare we found to be very effective when small pieces of wire have been retained in cases. We noticed the discussion of other retrieval devices in Table 2 of Dr. Alomari's article. The discussion did not include the Micro Elite snare, which we found to be very effective for cases such as described. If there is no flow limitation, we sometimes deploy a stent to press the wire into the wall if
Fig. 1. A picture of three Micro Elite snares.
1553-8389/© 2014 Elsevier Inc. All rights reserved.
it truly cannot be removed; however, with the Micro Elite snare, this is rarely necessary.
Richard R. Heuser St. Luke's Medical Center, University of Arizona College of Medicine, 555 N. 18th Street, Suite 300, Phoenix Arizona 85006. Tel.: +1 602 234 0004; fax: +1 602 254 1109 E-mail addresses: [email protected] [email protected]
http://dx.doi.org/10.1016/j.carrev.2014.10.010
