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Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade

โœ Scribed by Woodfield, Scott L. ;Lopez, Alejandro ;Heuser, Richard R.

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
173 KB
Volume
44
Category
Article
ISSN
0098-6569

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โœฆ Synopsis

We present the case of a calcified right coronary artery lesion with a 90-degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments.

๐Ÿ“œ SIMILAR VOLUMES

Guidewire transection during rotational
Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking
โœ Foster-Smith, Karl ;Garratt, Kirk N. ;Holmes, David R. ๐Ÿ“‚ Article ๐Ÿ“… 1995 ๐Ÿ› John Wiley and Sons ๐ŸŒ English โš– 381 KB

## Abstract Rotational coronary atherectomy is an effective treatment for calcified ostial lesions. We report a case of guidewire transection during rotational atherectomy of a right coronary artery ostial stenosis. Guide catheter dislodgement appeared to have caused prolapse and kinking of the gui