Document Detail

A rare, unreported complication during coronary rotational atherectomy.
MedLine Citation:
PMID:  10953109     Owner:  NLM     Status:  MEDLINE    
We describe a rare and unreported complication during rotational atherectomy of a heavily calcified lesion in the left circumflex artery in a 79-year-old man. The Teflon sheath housing the drive shaft fractured, most probably due to overtightening of the Y-adapter hemostatic valve. As a result, there was intense spasm leading to acute ischemia and the procedure had to be abandoned. This case highlights the importance of using familiar and thoroughly tested hardware in technique-intensive procedures.
D Jain; V Kurowski; M Degenhardt; H A Katus; G Richardt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  12     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-09-18     Completed Date:  2000-09-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  428-30     Citation Subset:  IM    
Medizinische Klinik II, Universitatsklinikum Lubeck, Germany.
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MeSH Terms
Angina, Unstable / radiography,  surgery*
Atherectomy, Coronary / adverse effects*,  instrumentation
Calcinosis / radiography,  surgery
Coated Materials, Biocompatible
Coronary Angiography
Coronary Vasospasm / drug therapy,  etiology*,  radiography
Equipment Failure
Injections, Intra-Arterial
Intraoperative Complications*
Vasodilator Agents / administration & dosage
Reg. No./Substance:
0/Coated Materials, Biocompatible; 0/Vasodilator Agents; 9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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