Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking

Karl Foster‐Smith, Kirk N. Garratt, David Holmes

Research output: Contribution to journalArticle

19 Citations (Scopus)

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 guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed‐wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire. © 1995 Wiley‐Liss, Inc.

Original languageEnglish (US)
Pages (from-to)224-227
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume35
Issue number3
DOIs
StatePublished - Jan 1 1995

Fingerprint

Coronary Atherectomy
Catheters
Coronary Stenosis
Prolapse

Keywords

  • foreign body retrieval
  • guidewire fracture
  • rotational coronary atherectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking. / Foster‐Smith, Karl; Garratt, Kirk N.; Holmes, David.

In: Catheterization and Cardiovascular Diagnosis, Vol. 35, No. 3, 01.01.1995, p. 224-227.

Research output: Contribution to journalArticle

@article{98cb5c33f5cf4fd0bf39ebf91fa72074,
title = "Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking",
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 guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed‐wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire. {\circledC} 1995 Wiley‐Liss, Inc.",
keywords = "foreign body retrieval, guidewire fracture, rotational coronary atherectomy",
author = "Karl Foster‐Smith and Garratt, {Kirk N.} and David Holmes",
year = "1995",
month = "1",
day = "1",
doi = "10.1002/ccd.1810350313",
language = "English (US)",
volume = "35",
pages = "224--227",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "3",

}

TY - JOUR

T1 - Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking

AU - Foster‐Smith, Karl

AU - Garratt, Kirk N.

AU - Holmes, David

PY - 1995/1/1

Y1 - 1995/1/1

N2 - 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 guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed‐wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire. © 1995 Wiley‐Liss, Inc.

AB - 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 guidewire. Advancement of the burr over the kinked wire resulted in transection. The wire fragment was retrieved successfully using an inflated fixed‐wire balloon catheter. This report illustrates the importance of excellent coaxial guide catheter alignment with rotational atherectomy and suggests that operators be vigilant to possible damage to the radiolucent rotational atherectomy guidewire. © 1995 Wiley‐Liss, Inc.

KW - foreign body retrieval

KW - guidewire fracture

KW - rotational coronary atherectomy

UR - http://www.scopus.com/inward/record.url?scp=0029016755&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029016755&partnerID=8YFLogxK

U2 - 10.1002/ccd.1810350313

DO - 10.1002/ccd.1810350313

M3 - Article

C2 - 7553828

AN - SCOPUS:0029016755

VL - 35

SP - 224

EP - 227

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 3

ER -