The entrapped and unravelled coronary wire.

A case of an entrapped rotational atherectomy burr.

Rotational atherectomy is a widely used modality in percutaneous coronary revascularization, especially for heavily calcified coronary arteries [1–5]. Due to the unique mechanism of rotational atherectomy, there have been reports of unusual complications, including fracture of coronary wire, guidewire bias, coronary spasm leading to myocardial infarction, and fracture of the drive shaft causing...

Successful removal of entrapped Burr with sheathless guiding during stent rotablation

A 75-year-old male patient with a history of hypertension and hypercholesterolemia was referred to our centre with ACS. During previous interventions, a cutting balloon (CB) dilatation, noncompliant (NC) and drug-eluting balloon dilatations, and an NC balloon dilatation with drug-eluting stent implantation (DES, Xcience 4x18 mm, Abbot Vascular, USA) of the mid-right coronary artery (RCA) had be...

A Case of Entrapped Rotablator Burr and Possible Mechanism of Entrapment: Insight from Intravascular Ultrasound Findings

The effectiveness of rotational atherectomy as the primary strategy for complex, severe calcified lesions has been established for facilitating device delivery, optimal stent expansion, and good apposition [1-6]. However, the rotablator carries the potential for life-threatening complications. Flow complications, including slow flow/no reflow, coronary perforation, and dissection, are well know...

Entrapped central venous catheter guide wire

Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter.

OBJECTIVES The percutaneous coronary artery angioplasty is routinely being used worldwide for the management of short and discrete coronary artery stenosis. The purpose of this report is to address the potentially lethal complication among the variety of surgical problems in conjunction with this procedure. The case also illustrates the potential pitfalls in the management of CAD. METHODS A 6...