We report the case of a 74-year-old man having angioplasty following admission with a troponin positive acute coronary syndrome. Due to heavy coronary artery calcification, rotablation was used. The procedure was complicated by a stuck burr ("Kokeshi phenomenon"). We employed a novel method to safely remove the burr and complete the procedure. < Various methods have been described for the retrieval of an entrapped Rotablator burr; we show in this case that deep engagement of guiding catheter and manual traction is a safe and effective method for retrieval.>.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280747 | PMC |
| http://dx.doi.org/10.1016/j.jccase.2015.10.012 | DOI Listing |
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Article Synopsis
- Intravascular lithotripsy (IVL) combined with rotational atherectomy (RA), referred to as Rotatripsy, is used to treat severe coronary artery calcification (CAC), but data on its effectiveness and safety over time is limited.
- A study included 114 patients across six centers, showing high device (97%) and procedural (93%) success rates, with some minor complications reported.
- At the 1-year follow-up, only 9% of patients experienced major adverse cardiovascular events (MACE), indicating that Rotatripsy is safe and effective, with RA typically used before IVL in treatments.
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