Crush Technique as Ultimate Bailout Treatment for Rotablator Burr Entrapment

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.