eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2021
vol. 17
 
Share:
Share:
more
 
 
abstract:
Image in intervention

Strategy of rotational atherectomy guided by optical coherence tomography

Luiza Bulak
1
,
Wojciech J. Zimoch
2
,
Oscar Rakotoarison
2
,
Marcin Protasiewicz
2
,
Krzysztof Reczuch
2
,
Piotr Kübler
2

1.
Institute of Heart Diseases, Jan Mikulicz-Radecki University Teaching Hospital, Wroclaw, Poland
2.
Institute of Heart Diseases, Jan Mikulicz-Radecki University Teaching Hospital, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 4 (66): 416–418
Online publish date: 2021/12/14
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
We present a case of a 70-year-old man with a medical history of exacerbated coronary artery disease, arterial hypertension, diabetes mellitus and hypercholesterolemia. After diagnostic coronary angiography the patient was qualified to undergo angioplasty of significant calcified stenosis in the right coronary artery (RCA). The distal RCA lesion was successfully predilated, but predilatations of the medial and proximal parts of the RCA at maximal pressure of 18 atm did not bring the expected result. Due to the undilatable character of the lesion rotational atherectomy (RA) was applied with several runs of the 1.5 mm burr. Unfortunately, the 3.5 × 20 mm non-compliant (NC) balloon was not fully opened again. The next step was the use of a 1.75 mm burr, but at this point the visualisation of the artery using optical coherence tomography (OCT) was introduced. Unexpectedly, OCT revealed highly calcified lesions with extensive dissection in the proximal RCA (Figures 1 A, B) which were not clearly visible in angiography.
Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.