Key result
An entrapped rotational atherectomy burr was successfully retrieved percutaneously using a child-in-a-mother technique with a Guideliner catheter, avoiding emergency open-heart surgery.
Why the study?
Rotational atherectomy carries risks such as entrapped burr that can lead to devastating complications requiring emergency surgery, highlighting the need to report percutaneous management strategies.
Case Report (n=1)
No
This case report demonstrates the feasibility of percutaneous retrieval for an entrapped rotational atherectomy burr (Kokeshi phenomenon), potentially avoiding the need for emergency surgery.
Cardiovascular disease remains the leading cause of death worldwide. Besides conventional therapies to treat coronary artery disease, which ranges from preventative measures to invasive intervention, complex percutaneous coronary intervention techniques have been developed that yield several techniques including rotational atherectomy (RA). It is evident that RA has benefits primarily in treating calcific coronary artery lesions predominantly lesion modification. Similar to other invasive procedures, RA carries variable risks such as perforation, entrapped burr, slow-flow and dissection. Entrapped burr can lead to devastating complications, where it may end up by emergency surgery. The authors report a rare complication of RA, Kokeshi phenomenon, where the stuck burr was successfully retrieved percutaneously.
No takes yet. Share an insight, caveat, or question.
Hasan et al. (2022) conducted a case report in Entrapped rotational atherectomy burr (Kokeshi phenomenon) (n=1). Percutaneous retrieval using child-in-a-mother technique (Guideliner catheter) was evaluated on Successful retrieval of the entrapped burr. An entrapped rotational atherectomy burr was successfully retrieved percutaneously using a child-in-a-mother technique with a Guideliner catheter, avoiding emergency open-heart surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: