The limited antegrade subintimal tracking technique to retrieve a trapped rotablator burr: a case report.

ABSTRACT:

Background

Burr entrapment is a rare, but potentially serious complication of rotablation. This report describes the percutaneous options available for Rota burr retrieval.

Case summary

A 62-year-old Caucasian man with stable angina presented for percutaneous coronary intervention. Attempted rotablation with a 1.75 mm burr resulted in Rota burr entrapment, in the heavily calcified proximal right coronary artery. A chronic total occlusion angioplasty technique (limited antegrade subintimal tracking) was successfully used to remove the trapped Rota burr, by enabling subintimal dilatation to externally crush plaque and dislodge the burr. The angioplasty procedure was then completed using the wire that had a short subintimal passage, before re-entering the true lumen.

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SUBMITTER: Maznyczka A 

PROVIDER: S-EPMC10849080 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature