Entrapped Crown of Orbital Atherectomy Device by Intimal Tissue Entanglement During Peripheral Intervention

Aditya D. Hendrani, MD; Theresia R. Davita, MD; Daniel Morcos; Gautam Pathak; Ehab Morcos, MD

doi:10.1016/j.jaccas.2020.12.045

JACC: Case Reports (Mar 2021)

Entrapped Crown of Orbital Atherectomy Device by Intimal Tissue Entanglement During Peripheral Intervention

Aditya D. Hendrani, MD,
Theresia R. Davita, MD,
Daniel Morcos,
Gautam Pathak,
Ehab Morcos, MD

Affiliations

Aditya D. Hendrani, MD: Department of Cardiology, UPMC Somerset Hospital, Somerset, Pennsylvania, USA; Address for correspondence: Dr. Aditya Dewanto Hendrani, Department of Cardiology, UPMC Somerset Hospital, 225 South Center Avenue, Somerset, Pennsylvania 15501, USA.
Theresia R. Davita, MD: Faculty of Medicine, Pelita Harapan University, Banten, Indonesia
Daniel Morcos: College of Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA
Gautam Pathak: College of Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA
Ehab Morcos, MD: Department of Cardiology, UPMC Somerset Hospital, Somerset, Pennsylvania, USA

DOI: https://doi.org/10.1016/j.jaccas.2020.12.045
Journal volume & issue: Vol. 3, no. 3
pp. 412 – 414

Abstract

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Orbital atherectomy is a commonly used procedure for peripheral arterial disease. Crown entrapment is a rare but potentially dangerous complication of orbital atherectomy. We describe a case of crown entrapment by markedly excessive atheromatous intimal tissue attachment to the device and an innovative retrieval technique that may minimize vascular injury. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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