Key result
Rotational atherectomy successfully cut a stretched spring wire at the intended site to resolve an entrapped guidewire during coronary intervention.
Why the study?
During removal of an entrapped guidewire, the core wire can fracture and leave a stretched spring wire while the distal guidewire remains entrapped.
Rotational atherectomy provides a viable bailout method for cutting a stretched spring wire during complex coronary interventions.
Should not yet change practice for entrapped guidewires; leaves open the role of rotational atherectomy as bailout in complex PCI.
During removal of an entrapped guidewire, the core wire can fracture, allowing stretching of the spring wire while the distal guidewire is still entrapped. We resolved this issue with rotational atherectomy, allowing cutting of the spring wire at the intended site, regardless of the proximal spring wire fracture. (Level of Difficulty: Advanced.)
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Tanaka et al. (2021) studied this question. Rotational atherectomy successfully cut a stretched spring wire at the intended site to resolve an entrapped guidewire during coronary intervention.
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