What does this research mean for the field?

Percutaneous techniques utilizing repeated balloon dilatations can successfully achieve en bloc retrieval of an entrapped rotablator burr and previously implanted stent, avoiding the need for emergent surgery. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 3, 2026Catheterization and Cardiovascular InterventionsOpen Access

Successful Percutaneous Rescue of an Entrapped Rotablator Burr With a Previously Implanted Stent: A Rare and Challenging Case of En Bloc Extraction of Stent, Burr, and Guidewire

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Why the study?

Rotational atherectomy carries risks including rare but potentially catastrophic burr entrapment, which often necessitates emergent surgical removal.

Key Points

Successful retrieval of an entrapped rotablator burr and stent without surgical intervention.
The patient, a 58-year-old man, experienced burr entrapment after engaging a stent in the artery.
Using balloon dilatations, a fully percutaneous strategy allowed for the complete retrieval of the devices.
This case highlights the importance of technical skill and quick decision-making during complex coronary procedures.

Structured PICO

Population

n=1 58-year-old man with a complex burr-stent-wire entrapment within the left anterior descending artery during rotational atherectomy.

Intervention

Fully percutaneous bailout strategy using repeated balloon dilatations to disengage the deformed stent from the vessel wall, enabling en bloc retrieval of the burr-stent system.

Outcome

Successful en bloc retrieval of the burr-stent system without surgical intervention and discharge without complications.

Meticulous percutaneous techniques using repeated balloon dilatations can successfully retrieve an entrapped rotational atherectomy burr and previously implanted stent en bloc, avoiding the need for emergent surgery.

Discussion

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Implication

May spare patients emergent surgery via percutaneous retrieval techniques; hypothesis-generating for rare atherectomy complications.

Cite This Study

Mori et al. (2026) studied this question.

synapsesocial.com/papers/69a75b1dc6e9836116a21d52 https://doi.org/10.1002/ccd.70485

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Successful Percutaneous Rescue of an Entrapped Rotablator Burr With a Previously Implanted Stent: A Rare and Challenging Case of En Bloc Extraction of Stent, Burr, and Guidewire

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Successful Percutaneous Rescue of an Entrapped Rotablator Burr With a Previously Implanted Stent: A Rare and Challenging Case of En Bloc Extraction of Stent, Burr, and Guidewire

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider