Intracoronary separation of a nosecone: an unusual complication of directional atherectomy.
A rare case of coronary separation of nosecone fixed to a 6 Fr GTO cutter catheter after failed directional coronary atherectomy (DCA) is reported. Revascularization was successful using a stent via the subintimal neolumen beside the nosecone. Heavily calcified lesions are relative contraindications to DCA.
Suguta
M
M
The Second Department of Internal Medicine, Gunma University School of Medicine, Gunma, Japan. fast5150@aol.com
Nakano
A
A
Hoshino
Y
Y
Tomita
T
T
Hasegawa
A
A
Kurabayashi
M
M
D000368:Aged; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation; D002114:Calcinosis / Q000150:complications / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery*; D004869:Equipment Safety; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization / Q000295:instrumentation; D015607:Stents; D016896:Treatment Outcome