Use of rotablation to rescue a “fractured” micro catheter tip: A case report

Figure 1 Left coronary angiography demonstrating heavily calcified left anterior descending artery. A: Cranial projection; B: Caudal projection. Excellent results from previous percutaneous coronary intervention to LCx.

Figure 2 Fractured micro-catheter tip. A: The yellow arrow points at the trapped corsair tip in mid left anterior descending artery (LAD) with the remaining micro-catheter in the proximal LAD segment (dotted white line); B: No flow in the LAD as a result of the jailed tip.

Figure 3 Rotational atherectomy was performed to modify calcification adjacent to the trapped tip. A: Calcium modifications using rota burr; B: Corsair tip was freed up and directed towards small diagonal branch.

Figure 4 Final angiographic results. A: Good flow in the left anterior descending artery with occluded diagonal branch by the corsair tip in the cranial projection; B: Caudal projection demonstrating final angiographic results.