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Year : 2023  |  Volume : 24  |  Issue : 4  |  Page : 221-223

Successful bail out of rotablator driveshaft fracture due to severe calcified lesion and proximal tortuosity

Department of Cardiovascular Medicine, Kin-Ikyo Chuo Hospital, Sapporo, Japan

Correspondence Address:
Dr. Hiroki Uehara
Kin-Ikyo Chuo Hospital, Sapporo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/heartviews.heartviews_28_23

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A 59-year-old male dialysis patient with a history of coronary artery bypass graft surgery underwent percutaneous coronary intervention of a right coronary artery with a severely calcified lesion. While debulking calcification using a Rotablator, the driveshaft was suddenly fractured. We attempted to move a child-in-mother catheter closer and across a second floppy wire and we dilated a 2.0-mm noncompliant balloon to trap the driveshaft, which we then removed, and restarted the intervention.

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