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Canadian Journal of Cardiology

Rotational Atherectomy to Pulverize a Fractured Microcatheter Tip: Clean Up After Yourself!

      Calcified lesions are at higher risk of adverse outcomes following percutaneous coronary intervention (PCI). Microcatheter tip fracture is a rare but potentially life-threatening complication of PCI, usually triggered by aggressive manipulation in calcified lesions.
      • Megaly M.
      • Sedhom R.
      • Pershad A.
      • et al.
      Complications and failure modes of coronary microcatheters.
      The resulting debris may cause acute vessel closure in situ or embolise distally resulting in ischemia and/or infarction. Here we present a case where rotational atherectomy was used to pulverize a fractured microcatheter tip in smaller remnants, which were subsequently jailed by stenting, thus avoiding further complications.
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        Complications and failure modes of coronary microcatheters.
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