Successful Retrieval of a Fractured and Detached Crown From a Coronary Orbital Atherectomy System

Koki Shishido, MD; Yutaka Tanaka, MD, PhD; Shigeru Saito, MD

JACC: Case Reports (Dec 2020)

Successful Retrieval of a Fractured and Detached Crown From a Coronary Orbital Atherectomy System

Koki Shishido, MD,
Yutaka Tanaka, MD, PhD,
Shigeru Saito, MD

Affiliations

Koki Shishido, MD: Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan
Yutaka Tanaka, MD, PhD: Address for correspondence: Dr. Yutaka Tanaka, Department of Cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa 247-8533, Japan.; Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan
Shigeru Saito, MD: Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan

Journal volume & issue: Vol. 2, no. 15
pp. 2336 – 2338

Abstract

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We report a rare case of crown fracture and detachment from a coronary orbital atherectomy system. During orbital atherectomy in an angulated and calcified coronary vessel, the crown was completely detached and left distal to the stenosis. It was successfully retrieved using a gooseneck snare and a guide-extension catheter. (Level of Difficulty: Advanced.)

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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