The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

How should I treat?

How should I treat an entrapped rotational atherectomy burr?

EuroIntervention 2012;7:1238-1244. DOI: 10.4244/EIJV710A197

Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand

BACKGROUND: A 67-year-old lady, with history of exertional angina, admitted with deterioration in her symptoms, suggestive of unstable angina.

INVESTIGATION: Physical examination, serial troponin (high sensitivity) measurement, ECG and coronary angiography.

DIAGNOSIS: Calcified mid-left anterior descending (LAD) coronary artery stenosis.

TREATMENT: Percutaneous coronary intervention (PCI) using rotational atherectomy via a right radial approach.

KEYWORDS: acute coronary syndrome, percutaneous coronary intervention (PCI), rotational atherectomy, entrapped burr, Kokesi phenomenon

Presentation of the case

A 67-year-old woman, with a background of exertional angina for five years, was admitted in our institution with symptoms suggestive ...

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