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A rare case of Rotablator® driveshaft fracture and successful percutaneous retrieval of a trapped burr using a balloon and GuideLiner®

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Abstract

A 75-year-old man with a severe calcified atheromatous plaque of the right coronary artery underwent percutaneous coronary intervention using a Rotablator®. During the procedure, the 1.5-mm burr became entrapped, and the driveshaft fractured. While various techniques for retrieving the burr were attempted, a new technique was created. The entrapped burr was sandwiched between an inflated balloon and the GuideLiner®, and a strong back-up force was obtained. Finally, the system was pulled back safely, and the entrapped burr was retrieved without complications. This approach may be useful and safe when coronary flow is preserved despite the trapped burr.

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Acknowledgments

The following investigators from the Division of Cardiology, Chikamori Hospital participated in this case report. Daisuke Furukawa, MD; Toshiaki Kotani, MD; Ryuichiro Imai, MD; Yoko Nakaoka, MD; Satoshi Yamamoto, MD; Noriyoshi Kaname, MD; Shuichi Seki, MD; Shoichi Kubokawa, MD; Masahiko Fukatani, MD.

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Authors and Affiliations

  1. Department of Cardiology, Chikamori Hospital, 1-16 Okawasuji 1 Chome, Kochi, Kochi, 780-8522, Japan

    Shunichi Imamura, Koji Nishida, Kazuya Kawai & Naohisa Hamashige

  2. Department of Cardiology, Neurology and Aging Science, Kochi Medical School, Kochi University, Kochi, Japan

    Hiroaki Kitaoka

Authors
  1. Shunichi Imamura
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  2. Koji Nishida
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  3. Kazuya Kawai
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  4. Naohisa Hamashige
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  5. Hiroaki Kitaoka
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Correspondence to Shunichi Imamura.

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The authors have no conflicts of interest relevant to this work.

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This manuscript complies with the ethical principles followed by this journal. This is an original manuscript that has not been previously published elsewhere.

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Imamura, S., Nishida, K., Kawai, K. et al. A rare case of Rotablator® driveshaft fracture and successful percutaneous retrieval of a trapped burr using a balloon and GuideLiner® . Cardiovasc Interv and Ther 32, 294–298 (2017). https://doi.org/10.1007/s12928-016-0423-z

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  • DOI: https://doi.org/10.1007/s12928-016-0423-z

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