International Heart Journal
Online ISSN : 1349-3299
Print ISSN : 1349-2365
ISSN-L : 1349-2365

この記事には本公開記事があります。本公開記事を参照してください。
引用する場合も本公開記事を引用してください。

How Should We Perform Rotational Atherectomy to an Angulated Calcified Lesion?
Kenichi SakakuraYousuke TaniguchiMitsunari MatsumotoHiroshi WadaShin-ichi MomomuraHideo Fujita
著者情報
ジャーナル フリー 早期公開

論文ID: 15-421

この記事には本公開記事があります。
詳細
抄録

Rotational atherectomy to an angulated calcified lesion is always challenging. The risk of catastrophic complications such as a burr becoming stuck or vessel perforation is greater when the calcified lesion is angulated. We describe the case of an 83-year-old female suffering from unstable angina. Diagnostic coronary angiography revealed an angulated calcified lesion in the proximal segment of the right coronary artery. We performed rotational atherectomy to the lesion, but intentionally did not advance the rotational atherectomy burr beyond the top of the angulation. We controlled the rotational atherectomy burr and stopped it just before the top of the angulation to avoid complications. Following rotational atherectomy, balloon dilatation with a non-compliant balloon was performed, and drug-eluting stents were successfully deployed. In this manuscript, we provide a review of the literature on this topic, and discuss how rotational atherectomy to an angulated calcified lesion should be performed.

著者関連情報
© 2016 by the International Heart Journal Association
feedback
Top