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Updated: Aug 16, 2026
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Perforation of nontarget artery during directional coronary atherectomy
E A Cohen1, S Z Naqvi, S E Fremes
1Division of Cardiology, Sunnybrook Health Sciences Centre, University of Toronto, Canada.
Abstract:
We report a case of perforation of an intermediate branch during attempted directional atherectomy of an ostial left anterior descending artery lesion, resulting from disruption of the cutter drive cable. Potential contributing factors and means of avoiding this complication are discussed.
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