{"id":21439,"date":"2016-07-19T07:39:14","date_gmt":"2016-07-19T02:09:14","guid":{"rendered":"https:\/\/cardiophile.org\/?p=21439"},"modified":"2022-12-10T21:17:17","modified_gmt":"2022-12-10T15:47:17","slug":"kokeshi-phenomenon-stuck-rotablator-burr","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/kokeshi-phenomenon-stuck-rotablator-burr\/","title":{"rendered":"Kokeshi phenomenon: stuck rotablator burr"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/K6JIkjk10ik\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Kokeshi phenomenon: stuck rotablator burr<\/span><\/h2>\n<p>Kokeshi phenomenon is a stuck rotablator burr in a heavily calcified coronary artery during attempted <a href=\"https:\/\/johnsonfrancis.org\/professional\/rotational-atherectomy-ptcra\/\">rotablation<\/a>. Though it is a rare complication, it is a potentially serious one as it can cause coronary occlusion and necessitate emergency surgery. Different methods have been described for retrieval of the stuck burr. Mechery A and associates noted that deep engagement of the guiding catheter and manual traction is a safe method for retrieval of the burr [1].<\/p>\n<p>Tanaka Y et al used a modified STAR (subintimal tracking and re-entry) technique using a 3 g tapered tip hydrophilic wire to remove the burr [2]. Successful removal using a&nbsp; Kiwami straight catheter (4F) has also been reported [3].<\/p>\n<p>Kokeshi are Japanese dolls handmade from wood, with an enlarged head and no limbs attached to the trunk [4]. These are Japanese dolls for children, crafted for over 150 years, originally from the northeastern region.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>Mechery A, Jordan PJ, Doshi SN, Khan SQ. Retrieval of a stuck Rotablator burr (\u201cKokeshi phenomenon\u201d) and successful percutaneous coronary intervention.&nbsp;Journal of Cardiology Cases. 2016;&nbsp;13:90-92.<\/li>\n<li>Tanaka Y, Saito S. Successful retrieval of a firmly stuck rotablator burr by using a modified STAR technique.&nbsp;Catheter Cardiovasc Interv. 2016;87:749-756.<\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/Kokeshi\">https:\/\/en.wikipedia.org\/wiki\/Kokeshi<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Kokeshi phenomenon: stuck rotablator burr Kokeshi phenomenon is a stuck rotablator burr in a heavily calcified coronary artery during attempted rotablation. Though it is a rare complication, it is a potentially serious one as it can cause coronary occlusion and necessitate emergency surgery. Different methods have been described for retrieval of the stuck burr. Mechery [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32821,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,24],"tags":[],"class_list":["post-21439","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-coronary-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kokeshi phenomenon - stuck rotablator burr in a heavily calcified lesion<\/title>\n<meta name=\"description\" content=\"Kokeshi phenomenon is a stuck rotablator burr in a heavily calcified coronary artery during attempted rotablation. Rare but serious complication.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/kokeshi-phenomenon-stuck-rotablator-burr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kokeshi phenomenon - stuck rotablator burr in a heavily calcified lesion\" \/>\n<meta property=\"og:description\" content=\"Kokeshi phenomenon is a stuck rotablator burr in a heavily calcified coronary artery during attempted rotablation. Rare but serious complication.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/kokeshi-phenomenon-stuck-rotablator-burr\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2016-07-19T02:09:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-10T15:47:17+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Kokeshi phenomenon: stuck rotablator burr\",\"datePublished\":\"2016-07-19T02:09:14+00:00\",\"dateModified\":\"2022-12-10T15:47:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/\"},\"wordCount\":211,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Angiography and Interventions\",\"Coronary Interventions\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/\",\"name\":\"Kokeshi phenomenon - stuck rotablator burr in a heavily calcified lesion\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/kokeshi-phenomenon-stuck-rotablator-burr\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2016-07-19T02:09:14+00:00\",\"dateModified\":\"2022-12-10T15:47:17+00:00\",\"description\":\"Kokeshi phenomenon is a stuck rotablator burr in a heavily calcified coronary artery during attempted rotablation. 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