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Although rotational atherectomy (RA) has been successfully performed in selected cases of stent underexpansion, a higher risk of burr lodgement demands extreme caution and surgical back-up on site (1–4). We report a case of transradial (TR) RA of a previously implanted, underexpanded stent in acute coronary syndrome (ACS) and successful nonsurgical management of burr lodgement.

Successful removal of entrapped Burr with sheathless guiding during stent rotablation