Ablation of the ablator: accidental guide catheter machining by a 1.75-mm burr in a 6F Amplatz guide

Key Result

A 1.75-mm burr accidentally machined a 6F Amplatz guide catheter during ablation of a severely calcified right coronary artery lesion in an 85-year-old woman.

Key Points

• Accidental machining of a guide catheter occurred during the procedure, revealing significant complications.
• A severely calcified lesion in the right coronary artery was identified in an 85-year-old female patient.
• This case involved an unexpected interaction with a 1.75-mm burr used for ablation procedures, complicating treatment.
• Highlighting procedural risk, the incident underlines the importance of careful equipment selection in coronary interventions.