Tip fracture of the crown of orbital atherectomy device in angulated left circumflex lesion

Catheter Cardiovasc Interv. 2021 Jun 1;97(7):1399-1401. doi: 10.1002/ccd.29428. Epub 2020 Dec 12.

Abstract

Atherectomy, whether rotational or orbital, is an essential and established method for treatment of calcified coronary lesions. By modifying the plaque, atherectomy lessens the risk of plaque shift and facilities stent delivery and stent expansion. Atherectomy technique is meticulous and challenging especially in tortuous and angulated coronary arteries. Herein, we describe the rare case of occurrence and the management of fracture of the tip of the crown of CSI Diamondback orbital atherectomy device during treatment of severely angulated and calcified ostial left circumflex lesion.

Keywords: PCI; atherectomy; complex PCI; complications; directional/rotational; orbital; percutaneous coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Atherectomy
  • Atherectomy, Coronary* / adverse effects
  • Coronary Angiography
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Artery Disease* / surgery
  • Humans
  • Treatment Outcome
  • Vascular Calcification* / diagnostic imaging
  • Vascular Calcification* / therapy