Mechanism and management of burr entrapment: A nightmare of interventional cardiologists

Journal of Geriatric Cardiology

Volumn 10, Issue 3, 2013, Pages 230-234

  Lin, Chia Pin ^a   Wang, Ji Hung ^b   Lee, Wen Ling ^c   Ku, Po Ming ^d   Yin, Wei Hsian ^e   Ten Ping, Tsao ^e   Chang, Chi Jen ^a  

^a CHANG GUNG UNIVERSITY   (Taiwan)

^b BUDDHIST TZU CHI GENERAL HOSPITAL   (Taiwan)

^c TAICHUNG VETERANS GENERAL HOSPITAL   (Taiwan)

^d CHI MEI MEDICAL CENTER   (Taiwan)

^e CHENG HSIN GENERAL HOSPITAL   (Taiwan)

Author keywords

Complication; Percutaneous coronary intervention; Rotational atherectomy

Indexed keywords

FIBRINOGEN RECEPTOR; GLYCERYL TRINITRATE; HEPARIN; VERAPAMIL;

ADULT; AGED; ANGIOGRAPHY; ARTERY CALCIFICATION; BALLOON CATHETER; BALLOON DILATATION; BURR ENTRAPMENT; BYPASS SURGERY; CARDIOLOGIST; CAROTID ARTERY BIFURCATION; CAROTID ARTERY STENTING; CLINICAL ARTICLE; CONFERENCE PAPER; CORONARY ARTERY SPASM; DEVICE REMOVAL; DYSLIPIDEMIA; FEMALE; GUIDING CATHETER; HEMODIALYSIS; HEPARINIZATION; HUMAN; INTRAAORTIC BALLOON PUMP; INTRAVASCULAR ULTRASOUND; KIDNEY FAILURE; LEFT ANTERIOR DESCENDING CORONARY ARTERY; LEFT CORONARY ARTERY; LUPUS ERYTHEMATOSUS NEPHRITIS; MALE; NON INSULIN DEPENDENT DIABETES MELLITUS; PERCUTANEOUS CORONARY INTERVENTION; ROTABLATOR; ROTATIONAL ATHERECTOMY; STABLE ANGINA PECTORIS; SURGICAL ERROR; THROMBOSIS; UNSTABLE ANGINA PECTORIS; VASCULAR GUIDE WIRE;

EID: 84885768540     PISSN: 16715411     EISSN: None     Source Type: Journal    
DOI: 10.3969/j.issn.1671-5411.2013.03.013     Document Type: Conference Paper

References (17)

1. Moussa I, Di Mario C, Moses J, et al. Coronary stenting after rotational atherectomy in calcified and complex lesions. Angiographic and clinical follow-up results. Circulation 1997; 96: 128-136.
2. Safian RD, Feldman T, Muller DW, et al. Coronary angioplasty and Rotablator atherectomy trial (CARAT): immediate and late results of a prospective multicenter randomized trial. Catheter Cardiovasc Interv 2001; 53: 213-220.
3. Khattab AA, Otto A, Hochadel M, et al. Drug-eluting stents versus bare metal stents following rotational atherectomy for heavily calcified coronary lesions: late angiographic and clinical follow-up results. J Interv Cardiol 2007; 20: 100-106.
4. Sonoda S, Morino Y, Ako J, et al. Impact of final stent dimensions on long-term results following sirolimus-eluting stent implantation: serial intravascular ultrasound analysis from the sirius trial. J Am Coll Cardiol 2004; 43: 1959-1963.
5. Fujii K, Carlier SG, Mintz GS, et al. Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus-eluting stent implantation: an intravascular ultrasound study. J Am Coll Cardiol 2005; 45: 995-998.
6. Woodfield SL, Lopez A, Heuse RR. Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade. Cathet Cardiovasc Diagn 1998; 44: 220-223.
7. Jain D, Kurowski V, Degenhardt M, et al. A rare, unreported complication during coronary rotational atherectomy. J Invasive Cardiol 2000; 12: 428-430.
8. Sakakura K, Ako J, Wada H, et al. Comparison of frequency of complications with on-label versus off-label use of rotational atherectomy. Am J Cardiol 2012; 110: 498-501.
9. Kaneda H, Saito S, Hosokawa G, et al. Trapped rotablator: Kokesi phenomenon. Catheter Cardiovasc Interv 2000; 49: 82-84.
10. Kimura M, Shiraishi J, Kohno Y. Successful retrieval of an entrapped rotablator burr using 5 Fr guiding catheter. Catheter Cardiovasc Interv 2011; 78: 558-564.
11. Prasan AM, Patel M, Pitney MR, et al. Disassembly of a rotablator: getting out of a trap. Catheter Cardiovasc Interv 2003; 59: 463-465.
12. Grise MA, Yeager MJ, Teirstein PS. A case of entrapped rotational atherectomy burr. Catheter Cardiovasc Interv 2002; 57: 31-33.
13. Vroey FD, Velavan P, Jack SE, et al. How should I treat an entrapped rotational atherectomy burr. Eurointervention 2012; 7: 1238-1244.
14. Gambhir DS, Batra R, Singh S, et al. Burr entrapment resulting in perforation of right coronary artery: an unreported complication of rotational atherectomy. Indian Heart J 1999; 51: 307-309.
15. Hyogo M, Inoue N, Nakamura R, et al. Usefullness of conquest guidewire for retrieval of an entrapped rotablator burr. Catheter Cardiovasc Interv 2004; 63: 469-472.
16. Sakara K, Ako J, Momomura SI. Successful removal of an entrapped rotablation burr by extracting drive shift sheath followed by balloon dilatation. Catheter Cardiovasc Interv 2011; 78: 567-570.
17. Cunnington M, Egred M. Guideliner, a child-in-mother catheter for successful retrieval of an entrapped rotablator burr. Catheter Cardiovasc Interv 2012; 79: 271-273.