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  • Title: Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade.
    Author: Woodfield SL, Lopez A, Heuser RR.
    Journal: Cathet Cardiovasc Diagn; 1998 Jun; 44(2):220-3. PubMed ID: 9637449.
    Abstract:
    We present the case of a calcified right coronary artery lesion with a 90-degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments.
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