Boueri Ziad, Mazloum Rami, Riccini Philippe, Souteyrand Geraud, Amabile Nicolas
Interventionnel Cardiology Département, Polyclinique les Fleurs, Ollioules, France.
Cardiology Department, Bastia General Hospital, Bastia, Corsica, France.
JACC Case Rep. 2025 Feb 5;30(3):103129. doi: 10.1016/j.jaccas.2024.103129.
This case demonstrates the feasibility of a crush technique as an ultimate bailout treatment for Rotablator (Boston Scientific) burr entrapment during a complex percutaneous coronary intervention of the left main artery. This paper reports the case of a 77-year-old patient successfully treated by crushing the burr by a stent in the left main artery after complete burr entrapment. The patient had a calcified distal stenosis of the left main coronary with stenosis of the distal anastomosis of the saphenous vein graft to the obtuse marginal artery. The patient had several controls with optical coherence tomography imaging at 3 months. Immediate and 1-year clinical outcomes were satisfying. To our knowledge, this case is the first report of crushing technique as bail out option for entrapped rotablation burr.
本病例展示了在左主干复杂经皮冠状动脉介入治疗期间，挤压技术作为Rotablator（波士顿科学公司）旋磨头卡压的最终补救治疗方法的可行性。本文报告了一例77岁患者在旋磨头完全卡压后，通过在左主干置入支架挤压旋磨头而成功治疗的病例。该患者左主干远端存在钙化性狭窄，同时大隐静脉桥血管至钝缘支动脉的远端吻合口也有狭窄。患者在3个月时进行了多次光学相干断层扫描成像检查。即刻及1年的临床结果均令人满意。据我们所知，本病例是关于将挤压技术作为旋磨头卡压的补救选择的首例报告。
