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Clinical Cases in Coronary Rotational Atherectomy pp 153–159Cite as

Complication: Sheared Wire

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Part of the book series: Clinical Cases in Interventional Cardiology ((CCIC))

Abstract

The patient was an 81-year-old lady, with significant cardiovascular risk factors of diabetes, hypertension and hyperlipidemia, and known triple vessel disease. She was planned for percutaneous coronary intervention on her right coronary artery (RCA) complete total occlusion (CTO).

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References

  1. Boston Scientific. Rotablator™ rotational atherectomy system- indications, safety, and warnings. Available from: http://www.bostonscientific.com/en-US/products/plaque-modification/rotablator-rotational-atherectomy-system/indications-safetyand-warnings1.html.

  2. Mizuguchi Y, Yamada T, Takahashi A. Migration of a broken rotawire across the aorta during retrieval using the twin guidewire method. Cath Lab Digest. 2013;21:30–32.

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Author information

Authors and Affiliations

  1. Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore

    Jonathan Yap MBBS, MPH

  2. National Heart Centre Singapore, 5 Hospital Drive, Singapore, 169069, Singapore

    Jack Wei Chieh Tan MBBS

Authors
  1. Jonathan Yap MBBS, MPH
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  2. Jack Wei Chieh Tan MBBS
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Corresponding author

Correspondence to Jack Wei Chieh Tan MBBS .

Editor information

Editors and Affiliations

  1. Division of Cardiovascular Medicine, Univ. of California, Davis Medical Centr , Sacramento, California, USA

    Reginald Low

  2. National Heart Center, Singapore, Singapore

    Khung Keong Yeo

Electronic Supplementary Materials

Baseline RCA angiogram (MP4 4250 kb)

After initial NC balloon angioplasty (MP4 3554 kb)

Initial rotablation with 1.5 mm burr (MP4 11539 kb)

The rotawire is sheared and fractured off by rota burr (MP4 11571 kb)

Attempted snaring of the fractured wire (MP4 1583 kb)

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 3051 kb)

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 1402 kb)

Twisting wires together in attempt to trap and withdraw fractured wire (MP4 1402 kb)

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Yap, J., Tan, J.W.C. (2018). Complication: Sheared Wire. In: Low, R., Yeo, K. (eds) Clinical Cases in Coronary Rotational Atherectomy. Clinical Cases in Interventional Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-60490-9_23

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  • DOI: https://doi.org/10.1007/978-3-319-60490-9_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60488-6

  • Online ISBN: 978-3-319-60490-9

  • eBook Packages: MedicineMedicine (R0)

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