Coronary rotational aterectomy in an injury with unexpanded stent restenosis
Abstract: High calcium content lesions are probably the most challenging and more likely to negatively impact both acute and long-term results in a percutaneous coronary intervention. The rotational atherectomy technique has shown to be safe and effective in treatment when labeled as a removal technique of the subsets of calcified coronary lesions. Several studies show an increase in the procedure’s success with a relatively low rate of complications of dissection or perforation. However, there is a margin of error in which we found ourselves with cases where atypical situations occurred that carry a risk of dissection, perforation, and slow/no reflux, among other complications. Therefore, this work shows a patient with complications after undergoing rotational atherectomy, the corrective procedure for eliminating the presented problem, and displays a precedent on the procedure in case of complications with rotational atherectomy.
| Main Authors: | , , , , |
|---|---|
| Format: | Digital revista |
| Language: | English |
| Published: |
Asociación Nacional de Cardiólogos de México A.C.
2021
|
| Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2954-38352021000300128 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Abstract: High calcium content lesions are probably the most challenging and more likely to negatively impact both acute and long-term results in a percutaneous coronary intervention. The rotational atherectomy technique has shown to be safe and effective in treatment when labeled as a removal technique of the subsets of calcified coronary lesions. Several studies show an increase in the procedure’s success with a relatively low rate of complications of dissection or perforation. However, there is a margin of error in which we found ourselves with cases where atypical situations occurred that carry a risk of dissection, perforation, and slow/no reflux, among other complications. Therefore, this work shows a patient with complications after undergoing rotational atherectomy, the corrective procedure for eliminating the presented problem, and displays a precedent on the procedure in case of complications with rotational atherectomy. |
|---|