title: Catheter tip erosion due to Rotablator burr: An unusual complication.
abstract: We report the occurrence of catheter tip erosion during use of a Rotablator, a rare but serious complication. A heavily calcified lesion of the right coronary artery ostium required use of a Rotablator, and the need for strong push led to the choice of an Amplatz Left guiding catheter. The traction of the catheter toward the ostium and the subsequent angle generated led to friction of the burr against the catheter and the erosion of its tip. If judged essential to get strong support, the Amplatz catheter should be used with caution in this setting.
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France; Faculté de Médecine de Lille, Lille, France; Université de Lille Nord de France, Lille, France.
authors.forename: Christopher
authors.initials: C
authors.lastname: Hurt
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Schurtz
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France; Faculté de Médecine de Lille, Lille, France; Université de Lille Nord de France, Lille, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Lemesle
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Sudre
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France; Faculté de Médecine de Lille, Lille, France; Université de Lille Nord de France, Lille, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Van Belle
authors.affiliation: Hôpital Cardiologique, Centre, Hospital Régional et Universitaire de Lille, Lille, France. Electronic address: cedricdelhaye2@gmail.com.
authors.forename: Cédric
authors.initials: C
authors.lastname: Delhaye
mesh_terms: D000369:Aged, 80 and over; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D062906:Cardiac Catheters; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D012720:Severity of Illness Index; D013525:Surgical Instruments; D016896:Treatment Outcome; D061205:Vascular Calcification / Q000000981:diagnostic imaging / Q000628:therapy*
keywords: Catheter tip erosion; Rotablator complication