It was reported that perforation has occurred.The target lesion was located in the severely tortuous and severely calcified right coronary artery (rca).Two 1.50mm rotapro and a rotawire were selected for percutaneous coronary intervention (pci) procedure.During the procedure, the physician used the first 1.5 rotapro burr at the proximal portion of the vessel.After the burr was worn down, a second 1.5 rotapro burr was opened and advanced to treat the distal rca.However, the wire fractured while drilling around a u curve bend lesion.The physician moved or adjusted the wire once, but the wire fractured which resulted in vessel perforation.The proximal part of the wire and the burr was simply removed altogether, and the fractured portion was left in the vessel trapped by coils.The patient went extracorporeal membrane oxygenation (ecmo) post procedure and is doing better now after ecmo was removed.No further complications were reported.
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