Non Surgical Management of Mini Guide Wire Embolism with Self Made Guide Wire Snare

Abstract

A 5 3 years old male presented in emergency department of local hospital with acute inferior wall myocardial infarction During his initial course of treatment he dev eloped symptomatic bradycardia and 2:1 artioventricular block, for which he was tried for implantation of temporary pacing lead through right subclavian vein with 6 F venous sheath. During the procedure the operator embolized the J-tip mini guide wire in the heart, for which the patient was shifted to our hospital for the management of the embolised guide wire and coronary angiography. The patient was immediately brought to cardiac catheterization laboratory and the position of mini guide wire was located under fluoroscopy. Its upper end was lying near the junction of superior vena cava with right atrium and the lower end was in the right common iliac vein. Continued