We present a rare complication of Rotablator (Boston Scientific) atherectomy during
percutaneous coronary intervention in a 67-year-old patient with a history of coronary
artery disease and prior coronary artery bypass graft (CABG) surgery. The fracture
of the Rotablator drive shaft and retention of the Rotablator burr in the mid left
anterior descending coronary artery posed significant challenges in patient management.
This case demonstrates the successful extraction of the retained Rotablator burr using
retrograde total occlusion recanalization and highlights the importance of understanding
the potential complications and management strategies in complex interventional cardiology
procedures.
Keywords
rotablator - complication - retrograde recanalization - chronic total occlusion
