Fractured Guidewire in Calcified Chronic Total Occlusion: Is Rotational Atherectomy Contraindicated?

Author:

Hong Xu-Lin1,Zhu Jun-hui1,Fu Guo-Sheng1,Zhang Wen-Bin1

Affiliation:

1. Zhejiang University School of Medicine Sir Run Run Shaw Hospital

Abstract

Abstract Guidewires fracture may occur in severely calcified coronary chronic total occlusion (CTO). Rotational atherectomy (RA) is safe if the broken guidewire is firmly entrapped in the lesion. We present a case of using RA to open the calcified CTO and meanwhile grind the entrapped wire.

Publisher

Research Square Platform LLC

Reference6 articles.

1. A case report of fractured guidewire removal by rotational atherectomy;Wang X;J Cardiothorac Surg,2021

2. Entrapment of hydrophilic coated coronary guidewire tips: which form of management is best?;Karabulut A;Cardiol J,2010

3. Successful Retrieval of Entrapped Gaia Guidewire in Calcified Chronic Total Occlusion Using Rotational Atherectomy Device;Cho JY;Int Heart J,2018

4. Entrapment of broken guidewire in the left main coronary artery during percutaneous transluminal coronary angioplasty;Sethi GK;Ann Thorac Surg,1989

5. Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware;Chang TM;Tex Heart Inst J,2002

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