Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The effectiveness of rotational atherectomy has been established for hard, calcified lesions rotablator burr entrapment is a rare complication of rotational atherectomy, estimated to occur in 0.4% of cases. A 54-year-old woman was admitted to our hospital to undergo percutaneous coronary intervention for an atherosclerotic lesion of left anterior descending coronary artery. Coronary angiography revealed diffuse narrowing with severe calcification in her left anterior descending coronary artery, which seemed to be refractory to conventional devices. We decided to perform lesion modification by rotablator. During rotablation, the burr suddenly stalled and became trapped at the distal portion of the left anterior descending coronary artery just beyond the severely calcified lesion. We successfully retrieved the entrapped burr by balloon inflation after the insertion of a second guide ...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Coronary artery perforation (CP) is a rare but catastrophic complication of percutaneous coronary intervention (PCI). Grade three coronary artery perforation and rupture results in pericardial effusion and tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the opportunity to treat coronary artery perforation. We report a case of an elderly male patient with multiple cardiovascular risk factors presenting with Non-ST Elevation Myocardial Infarction (NSTEMI) complicated with pulmonary edema. Coronary angiogram (CAG) revealed severe triple vessel coronary artery disease (CAD) with heavy calcifications. Successful recanalization of mid left anterior descending coronary artery (LAD) chronic total occlusion (CTO) with heavy and floppy guidewires followed by stepwise rotational atherectomy (RA) with two different sizes burrs and high press...