Conflict of interest: Nothing to report.
Coronary Artery Disease
GuideLiner, a child-in-a-mother catheter for successful retrieval of an entrapped rotablator burr†
Article first published online: 25 JUL 2011
Copyright © 2011 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 79, Issue 2, pages 271–273, 1 February 2012
How to Cite
Cunnington, M. and Egred, M. (2012), GuideLiner, a child-in-a-mother catheter for successful retrieval of an entrapped rotablator burr. Cathet. Cardiovasc. Intervent., 79: 271–273. doi: 10.1002/ccd.23032
- Issue published online: 23 JAN 2012
- Article first published online: 25 JUL 2011
- Manuscript Accepted: 29 JAN 2011
- Manuscript Received: 24 JAN 2011
- percutaneous coronary intervention;
- GuideLiner, child-in-a-mother catheter;
- acute coronary syndrome
Entrapment of the rotablator burr within heavily calcified lesions is a recognized complication, which usually necessitates sternotomy and open surgical intervention to retrieve the trapped burr. In some cases, the trapped burr can be retrieved using simple traction, but this is potentially hazardous with possible trauma and perforation of the vessel. Passing a wire alongside the trapped burr with ballooning to free the burr can be attempted. We describe a novel technique to remove a trapped rotablator burr from a heavily calcified lesion using counter-traction with a GuideLiner, child-in-a-mother catheter, which successfully removed the entrapped burr without the need for surgery when simple traction alone had been ineffective. © 2011 Wiley Periodicals, Inc.