Successful Retrieval of Rota Burr After Driveshaft Fracture
Rotational atherectomy is an effective procedure for heavily calcified lesions and those that cannot be crossed using conventional percutaneous coronary intervention (PCI) devices. Here, we report a rare case of intracoronary burr entrapment in the coronary artery due to burr disconnection from the...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2024/5482922 |
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| author | Tsuyoshi Kobayashi Takeo Horikoshi Toru Yoshizaki Akira Sato |
| author_facet | Tsuyoshi Kobayashi Takeo Horikoshi Toru Yoshizaki Akira Sato |
| author_sort | Tsuyoshi Kobayashi |
| collection | DOAJ |
| description | Rotational atherectomy is an effective procedure for heavily calcified lesions and those that cannot be crossed using conventional percutaneous coronary intervention (PCI) devices. Here, we report a rare case of intracoronary burr entrapment in the coronary artery due to burr disconnection from the driveshaft. A 67-year-old man undergoing hemodialysis for nephrosclerosis presented with exertional chest discomfort. Coronary angiography revealed stenotic lesions in the right coronary artery, and PCI was performed using a Rotawire Floppy. During the procedure, the disconnected burr was successfully removed without surgery using the child-in-mother technique with a guide extension catheter. Notably, the patient remained hemodynamically stable throughout the procedure and his recovery was uncomplicated. He was discharged on the second postprocedural day. At the 6-month follow-up, the patient remained asymptomatic with no evidence of myocardial ischemia. This report informs clinicians of the possibility of burr disconnection and the non-surgical intervention used for its removal. |
| format | Article |
| id | doaj-art-b1550d2bfeaa44c58649e7a76ff94563 |
| institution | DOAJ |
| issn | 2090-6412 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-b1550d2bfeaa44c58649e7a76ff945632025-08-20T03:20:48ZengWileyCase Reports in Cardiology2090-64122024-01-01202410.1155/2024/5482922Successful Retrieval of Rota Burr After Driveshaft FractureTsuyoshi Kobayashi0Takeo Horikoshi1Toru Yoshizaki2Akira Sato3Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyRotational atherectomy is an effective procedure for heavily calcified lesions and those that cannot be crossed using conventional percutaneous coronary intervention (PCI) devices. Here, we report a rare case of intracoronary burr entrapment in the coronary artery due to burr disconnection from the driveshaft. A 67-year-old man undergoing hemodialysis for nephrosclerosis presented with exertional chest discomfort. Coronary angiography revealed stenotic lesions in the right coronary artery, and PCI was performed using a Rotawire Floppy. During the procedure, the disconnected burr was successfully removed without surgery using the child-in-mother technique with a guide extension catheter. Notably, the patient remained hemodynamically stable throughout the procedure and his recovery was uncomplicated. He was discharged on the second postprocedural day. At the 6-month follow-up, the patient remained asymptomatic with no evidence of myocardial ischemia. This report informs clinicians of the possibility of burr disconnection and the non-surgical intervention used for its removal.http://dx.doi.org/10.1155/2024/5482922 |
| spellingShingle | Tsuyoshi Kobayashi Takeo Horikoshi Toru Yoshizaki Akira Sato Successful Retrieval of Rota Burr After Driveshaft Fracture Case Reports in Cardiology |
| title | Successful Retrieval of Rota Burr After Driveshaft Fracture |
| title_full | Successful Retrieval of Rota Burr After Driveshaft Fracture |
| title_fullStr | Successful Retrieval of Rota Burr After Driveshaft Fracture |
| title_full_unstemmed | Successful Retrieval of Rota Burr After Driveshaft Fracture |
| title_short | Successful Retrieval of Rota Burr After Driveshaft Fracture |
| title_sort | successful retrieval of rota burr after driveshaft fracture |
| url | http://dx.doi.org/10.1155/2024/5482922 |
| work_keys_str_mv | AT tsuyoshikobayashi successfulretrievalofrotaburrafterdriveshaftfracture AT takeohorikoshi successfulretrievalofrotaburrafterdriveshaftfracture AT toruyoshizaki successfulretrievalofrotaburrafterdriveshaftfracture AT akirasato successfulretrievalofrotaburrafterdriveshaftfracture |