Retrieval of a stuck Rotablator burr (“Kokeshi phenomenon”) and successful percutaneous coronary intervention

Abstract We report the case of a 74-year-old man having angioplasty following admission with a troponin positive acute coronary syndrome. Due to heavy coronary artery calcification, rotablation was used. The procedure was complicated by a stuck burr (“Kokeshi phenomenon”). We employed a novel method...

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Bibliographic Details
Published inJournal of cardiology cases Vol. 13; no. 3; pp. 90 - 92
Main Authors Mechery, Anthony, MD, Jordan, Paul J., MD, Doshi, Sagar N., MD, Khan, Sohail Q., MD
Format Journal Article
LanguageEnglish
Published Japan Elsevier Ltd 01.03.2016
Japanese College of Cardiology
Subjects
Angioplasty
Cardiovascular
Complication
Percutaneous coronary intervention
Radial
Rotablation
Rotablation
Complication
Percutaneous coronary intervention
Radial
Angioplasty
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Summary:Abstract We report the case of a 74-year-old man having angioplasty following admission with a troponin positive acute coronary syndrome. Due to heavy coronary artery calcification, rotablation was used. The procedure was complicated by a stuck burr (“Kokeshi phenomenon”). We employed a novel method to safely remove the burr and complete the procedure. < Learning objective: Various methods have been described for the retrieval of an entrapped Rotablator burr; we show in this case that deep engagement of guiding catheter and manual traction is a safe and effective method for retrieval.>
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ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2015.10.012