Entrapment of Rotational Atherectomy Burrs in Freshly Implanted Stents: First Illustration of the Rolled-Up Phenomenon.

Détails

ID Serval
serval:BIB_FDBB39ACEFCA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Entrapment of Rotational Atherectomy Burrs in Freshly Implanted Stents: First Illustration of the Rolled-Up Phenomenon.
Périodique
The Journal of invasive cardiology
Auteur(s)
Fournier S., Iglesias J.F., Zuffi A., Eeckhout E., Tozzi P., Muller O.
ISSN
1557-2501 (Electronic)
ISSN-L
1042-3931
Statut éditorial
Publié
Date de publication
11/2016
Peer-reviewed
Oui
Volume
28
Numéro
11
Pages
E132-E133
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
We aimed to illustrate one of the mechanisms of rotational atherectomy burr entrapment in a coronary stent where the burr was rolled up in the stent's struts.
We report a case where the treatment of a mid right coronary artery (RCA) lesion using a rotational atherectomy device was attempted. During the procedure, the burr suddenly got stuck in a freshly implanted stent in the distal RCA. Despite several attempts and maneuvers, we were unable to pull back the burr.
The patient was transferred for emergency surgery. The length of the RCA from its proximal third to the crux, including the stuck burr and the freshly implanted stent, had to be extracted.
Physicians performing rotational atherectomy should be aware of this complication and know the principal endovascular maneuvers to extract the stuck burr. Operators should also be aware of roll-up burr entrapment, like this case, where most maneuvers to retrieve the burr will fail and should be managed, to our point of view, with surgery.

Mots-clé
Aged, Angioplasty, Balloon, Coronary/instrumentation, Angioplasty, Balloon, Coronary/methods, Atherectomy, Coronary/adverse effects, Atherectomy, Coronary/instrumentation, Atherectomy, Coronary/methods, Coronary Angiography/methods, Coronary Artery Disease/complications, Coronary Stenosis/diagnosis, Coronary Stenosis/etiology, Coronary Stenosis/physiopathology, Coronary Stenosis/surgery, Coronary Vessels/diagnostic imaging, Coronary Vessels/pathology, Endovascular Procedures/adverse effects, Endovascular Procedures/methods, Humans, Intraoperative Complications/diagnosis, Intraoperative Complications/etiology, Intraoperative Complications/surgery, Male, Patient Transfer, Prosthesis Fitting/methods, Stents/adverse effects, Treatment Outcome, Vascular Surgical Procedures/methods
Pubmed
Web of science
Création de la notice
28/09/2016 17:43
Dernière modification de la notice
20/08/2019 17:28
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