Successful rescue of stuck rotablator burr entrapment using a Kiwami straight catheter

• Published in: Catheterization and cardiovascular interventions Vol. 86; no. 5; pp. 942 - 945
• Main Authors: Kanazawa, Takenori, Kadota, Kazushige, Mitsudo, Kazuaki
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.11.2015
• Subjects: angiography; Atherectomy, Coronary - adverse effects; Atherectomy, Coronary - instrumentation; Cardiac Catheterization - instrumentation; Cardiac Catheters; carotid artery disease; coronary; Coronary Angiography; Coronary Stenosis - diagnostic imaging; Coronary Stenosis - therapy; Coronary Vessels - diagnostic imaging; Device Removal - instrumentation; Equipment Design; Equipment Failure; Humans; intervention; Male; Middle Aged; Percutaneous Coronary Intervention; Severity of Illness Index; Treatment Outcome; Vascular Calcification - diagnostic imaging; Vascular Calcification - therapy; percutaneous coronary intervention; coronary; carotid artery disease; intervention; angiography
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.25903

Rotational atherectomy is an indispensable modality for percutaneous coronary intervention of severely calcified lesions. An entrapped rotablator burr is a rare but life‐threatening complication because retrieval is difficult. Although emergent surgical removal is a reliable option for this complication, it is invasive. There are various methods to retrieve an entrapped burr by bailout endovascular approaches. We present two cases of successful rescue of stuck rotablator burr entrapment using a Kiwami straight catheter (4 Fr, Heartrail II, Terumo, Tokyo, Japan). © 2015 Wiley Periodicals, Inc.