Guidewire breakage is an infrequent complication, occurring in 0.2% of PTCAs, and it is more common in procedures using rotablator-type devices.
Patient knew the finding of this fragmented wire was there for 2 years and has not had it taken out.
If you notice her chest x-ray, she has probably had many angiograms for her dialysis related fistula, etc. It will be hard to say when it happened.
So angiographers should be careful when doing procedures and keep this complication in mind.
Radiologists need to be aware of this complication when reading radiographs. This is a "call report" for retained foreign body for young radiologists in training.
Interventional radiologists and cardiologists have experience in explanting the guidewire fragments by non-invasive methods.