Complication: Sheared Wire

Chapter
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)

Abstract

The patient was an 81-year-old lady, with significant cardiovascular risk factors of diabetes, hypertension and hyperlipidemia, and known triple vessel disease. She was planned for percutaneous coronary intervention on her right coronary artery (RCA) complete total occlusion (CTO).

Supplementary material

Video 23.1

Baseline RCA angiogram (MP4 4250 kb)

Video 23.2

After initial NC balloon angioplasty (MP4 3554 kb)

Video 23.3

Initial rotablation with 1.5 mm burr (MP4 11539 kb)

Video 23.4

The rotawire is sheared and fractured off by rota burr (MP4 11571 kb)

Video 23.5

Attempted snaring of the fractured wire (MP4 1583 kb)

Video 23.6

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 3051 kb)

Video 23.7

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 1402 kb)

Video 23.8

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 1402 kb)

References

  1. 1.
    Boston Scientific. Rotablator™ rotational atherectomy system- indications, safety, and warnings. Available from: http://www.bostonscientific.com/en-US/products/plaque-modification/rotablator-rotational-atherectomy-system/indications-safetyand-warnings1.html.
  2. 2.
    Mizuguchi Y, Yamada T, Takahashi A. Migration of a broken rotawire across the aorta during retrieval using the twin guidewire method. Cath Lab Digest. 2013;21:30–32.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore
  2. 2.National Heart Centre SingaporeSingaporeSingapore

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