Perforation of nontarget artery during directional coronary atherectomy.
We report a case of perforation of an intermediate branch during attempted directional atherectomy of an ostial left anterior descending artery lesion, resulting from disruption of the cutter drive cable. Potential contributing factors and means of avoiding this complication are discussed.
Cohen
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EA
Division of Cardiology, Sunnybrook Health Sciences Centre, University of Toronto, Canada.
Naqvi
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SZ
Fremes
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SE
D000368:Aged; D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D004868:Equipment Failure; D005260:Female; D006801:Humans