Open heart surgery for a stuck rotablator

Fouquet, Olivier; Gomez, Mathurin; Abi-Khalil, Wissam; Binuani, Patrice

doi:10.1093/ejcts/ezw029

Cited by 3 publications

(2 citation statements)

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“…In this case, locating the burr based on the cardiac catheterization and opening at the location of the burr itself will permit it to be disentangled from the lattice of the stent and removed. 3 Palpating for the stent and knowing where within the stent the burr is located will allow the artery to be opened in the correct location.…”

Section: Comment: Technical Pearlsmentioning

confidence: 99%

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Surgical removal of rotational atherectomy device

et al. 2021

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Video clip is available online.Rotational atherectomy emerged in the 1990s and is used in percutaneous coronary intervention to manage calcified lesions. Rotational atherectomy uses a diamond-tipped burr that rotates and ablates plaque as it advances over a guidewire that is placed across a lesion. Burr entrapment is a known complication because if the burr passes beyond an incompletely destroyed plaque, it can be impossible to remove because the back of the burr cannot ablate in a retrograde fashion. Pulling vigorously on the device from outside the body can cause coronary artery dissection and rupture. There are catheter-based techniques for removal, 1 including passing a second guidewire for angioplasty of the stuck segment, and use of snares. 2 However, although there are many reports of catheter-based removal, there are few reports of surgical removal that include technical detail. 3,4 Our goal is to review the technical details of a single case, and provide some underlying principles.

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Section: Comment: Technical Pearlsmentioning

confidence: 99%

“… 2 However, although there are many reports of catheter-based removal, there are few reports of surgical removal that include technical detail. 3 , 4 Our goal is to review the technical details of a single case, and provide some underlying principles.…”

mentioning

confidence: 99%