Wire under stent struts and rota blocked
Coronary Rotablator complications
While the rotational atherectomy (RA) procedure today is a proven tool in plaque modification, rare complications can occur and one of the most challenging is when the rota is blocked and the wire is seen to be under the stent struts. This section helps you to deal with this complication should it occur.
Table of content
Introduction
Complications during the use of the Rotablator system in performing rotational atherectomies (RA) are increasingly rare. The options available in dealing with a blocked rota - when the wire is seen to be under the implanted stent struts - are limited and this section aims to help better understand the nature of this complication along with different approaches to resolve it.
Management begins with understanding the situation using IVUS/OCT to confirm the wire position. A conservative approach is not recommended and, except for the option of surgery, a guide extension catheter technique might be the only possible option.
Management overview
Key messages:
- Be aware of the proper position of the rota wire, especially when passing or addressing implanted stents
Additional links
References - Rotational atherectomy complications
Case library
Case study of a stuck rotablator by Olivier Muller: Rotablator entrapment
Clinical cases will become available shortly!
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
