Treatment of Arterial Wall Rupture Induced by a Rotational Atherothrombectomy Device

Two types of arterial wall rupture are induced by atherectomy devices: one without bleeding corresponding to pseudoaneurysm formation and one with bleeding. For pseudoaneurysm and rupture with low-flow bleeding, prolonged balloon angioplasty is sufficient. For rupture with high-flow bleeding, a covered stent is indicated. We report 2 cases of vessel preparation where the RotarexTM S Rotational Excisional Atherectomy System (BD) induced arterial wall ruptures and describe how the ruptures were treated in 2 different ways.