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Buddy‐wire technique during rotational Atherectomy: Simple and effective solution to achieve strong back‐up support
Author(s) -
Mitomo Satoru,
Demir Ozan M.,
Latib Azeem,
Colombo Antonio
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27873
Subject(s) - medicine , simple (philosophy) , epistemology , philosophy
A 52‐year‐old male underwent percutaneous coronary intervention (PCI) using rotational atherectomy (RA: 1.5‐mm burr) for a severely calcified lesion in the proximal to mid obtuse marginal (OM) branch. Even with 7 Fr extra back‐up guiding catheter via femoral access, the burr could not cross the lesion due to insufficient back‐up support. In order to achieve stronger back‐up support, we kept the burr at the position in the OM branch and placed a supportive wire in left anterior descending artery through the side of drive‐shaft sheath of the Rotablator, which sufficiently stabilized the guiding catheter during the ablation and the burr crossed the lesion. This case demonstrates that a simple technique of placing additional supportive wire in the other vessel during RA could be an effective and safe solution to facilitate improved back‐up support without necessity to change the PCI system used already.