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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Cardiac Catheterization III: Left Heart Catheterization01:24

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...

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Related Experiment Video

Updated: May 10, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Rotablation Wire Fracture During a Challenging Percutaneous Coronary Intervention.

Stefanos Votsis1, Phong Nguyen2, Vishal Arora2

  • 1Medical College of Georgia at Augusta University, Augusta, Georgia, USA; 424 Military Hospital, Thessaloniki, Greece.

JACC. Case Reports
|August 22, 2025
PubMed
Summary

Rotablation wire fracture is a rare complication during coronary interventions for calcified lesions. Operators must be prepared for unexpected events and adapt their techniques to ensure successful patient outcomes.

Keywords:
RotaWirecalcium modificationcomplex coronary interventioncomplicationintravascular lithotripsyrotablationwire fracture

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Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Rotablation is a key technique for modifying calcified coronary lesions.
  • Rotablation wires are engineered to withstand high pressures and temperatures.

Observation:

  • A case report details a rotablation wire fracture during a procedure on a severely calcified right coronary artery.
  • The wire fractured and became entrapped during the final run, requiring retrieval.

Findings:

  • Rotablation wire fracture is an uncommon complication, with only two prior reported cases.
  • Factors contributing to fracture include heavy calcification, complex anatomy, and wire fatigue.

Implications:

  • Even specialized wires can fail, necessitating operator adaptability.
  • Successful percutaneous coronary intervention was achieved despite the complication using intravascular ultrasound guidance.