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Case Reports
. 2024 Feb 8;34(2):146-148.
doi: 10.1055/s-0044-1779662. eCollection 2025 Jun.

Successful Retrieval of Retained Rotablator Burr in the Mid Left Anterior Descending Coronary Artery using a Retrograde Approach: A Case Report

Yoshitha Inala  1 , Jon Robken  2 , Nicolas W Shammas  1   2
Affiliations
Case Reports

Successful Retrieval of Retained Rotablator Burr in the Mid Left Anterior Descending Coronary Artery using a Retrograde Approach: A Case Report

Yoshitha Inala et al. Int J Angiol. .

Abstract

We present a rare complication of Rotablator (Boston Scientific) atherectomy during percutaneous coronary intervention in a 67-year-old patient with a history of coronary artery disease and prior coronary artery bypass graft (CABG) surgery. The fracture of the Rotablator drive shaft and retention of the Rotablator burr in the mid left anterior descending coronary artery posed significant challenges in patient management. This case demonstrates the successful extraction of the retained Rotablator burr using retrograde total occlusion recanalization and highlights the importance of understanding the potential complications and management strategies in complex interventional cardiology procedures.

Keywords: chronic total occlusion; complication; retrograde recanalization; rotablator.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Chronic total occlusion of the left anterior descending artery (arrow) ( A ) with collaterals (arrow) ( B ) from the right coronary artery.
Fig. 2
Fig. 2
Retrograde wiring of the left anterior descending artery ( A ) with subsequent balloon dilatation adjacent to the burr antegradely ( B ) followed by successful extraction of the burr with the assistance of a GuideLiner ( C ). Final results poststenting of the left anterior descending artery ( D ).
See this image and copyright information in PMC

References

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