Guidewire breakage during neurointerventional procedures: a report of two cases

Korean J Radiol. 2011 Sep-Oct;12(5):638-40. doi: 10.3348/kjr.2011.12.5.638. Epub 2011 Aug 24.

Abstract

We report on two cases of microguidewire breakage that occurred during endovascular treatment of intracranial aneurysms. The microguidewire can be broken when a part of the wire is stuck due to vascular tortuosity, and, subsequently, application of excessive rotational movement. The mechanical and physical properties of a microguidewire are also important factors in microguidewire breakage. We also suggest technical tips for avoidance of this problem.

Keywords: Aneurysm; Mechanical properties; Microguidewires.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheters*
  • Device Removal
  • Embolization, Therapeutic / instrumentation*
  • Equipment Failure*
  • Female
  • Humans
  • Intracranial Aneurysm / therapy*
  • Middle Aged
  • Radiography, Interventional / instrumentation*