Key result
Balloon catheter successfully retrieves a transected guidewire following guide catheter dislodgement during rotational atherectomy.
Case Report (n=1)
This case illustrates the importance of maintaining coaxial guide catheter alignment during rotational atherectomy to prevent guidewire kinking and transection.
Alerts to guide catheter stability risks during rotational atherectomy; case report leaves open systematic prevention and retrieval validation.
Rotational coronary atherectomy is an effective treatment for calcified ostial lesions. We report a case of guidewire transection during rotational atherectomy of a right coronary artery ostial stenosis. Guide catheter dislodgement appeared to have caused prolapse and kinking of the guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed-wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire.
No takes yet. Share an insight, caveat, or question.
Foster‐Smith et al. (1995) conducted a case report in Right coronary artery ostial stenosis (n=1). Rotational coronary atherectomy was evaluated on Guidewire transection and retrieval. Guidewire transection occurred during rotational atherectomy due to guide catheter dislodgement and wire kinking, and the fragment was successfully retrieved using a balloon catheter.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: