A rare, unreported complication during coronary rotational atherectomy.
We describe a rare and unreported complication during rotational atherectomy of a heavily calcified lesion in the left circumflex artery in a 79-year-old man. The Teflon sheath housing the drive shaft fractured, most probably due to overtightening of the Y-adapter hemostatic valve. As a result, there was intense spasm leading to acute ischemia and the procedure had to be abandoned. This case highlights the importance of using familiar and thoroughly tested hardware in technique-intensive procedures.
Jain
D
D
Medizinische Klinik II, Universitatsklinikum Lubeck, Germany. drdeepakjain@hotmail.com
Kurowski
V
V
Degenhardt
M
M
Katus
H A
HA
Richardt
G
G
D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery*; D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery; D020099:Coated Materials, Biocompatible; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004562:Electrocardiography; D004868:Equipment Failure; D006801:Humans; D007269:Injections, Intra-Arterial; D007431:Intraoperative Complications; D008297:Male; D011138:Polytetrafluoroethylene; D014665:Vasodilator Agents / Q000008:administration & dosage
D020099:Coated Materials, Biocompatible; D014665:Vasodilator Agents; D011138:Polytetrafluoroethylene