JACC: Case Reports (Dec 2019)

Stuck Between a Rock and a Hard Place

  • Neila Sayah, MD,
  • Florian Rey, MD,
  • Mohamed Nosair, MD,
  • Hung Ly, MD

Journal volume & issue
Vol. 1, no. 5
pp. 771 – 773

Abstract

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Burr entrapment remains a serious complication of rotational atherectomy. This report describes an advanced technique for the management of entrapped atherectomy burrs. Commonly strategies were unsuccessful. A chronic total occlusion angioplasty technique was used successfully: the subintimal dilation and “external crushing” plaque modification technique. (Level of Difficulty: Advanced.)

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