Rotational Atherectomy and Mechanical Support to Treat Left Main

• Published in: JACC. Case reports Vol. 1; no. 5; pp. 811 - 814
• Main Authors: Dallan, Luis Augusto Palma, Ribeiro, Marcelo Harada, Igwe, Chinedu, Tensol Pereira Rodrigues, Gabriel, Zago, Elder Iarossi, Zimin, Vladislav, Vergara-Martel, Armando, Costa, Marco, Attizzani, Guilherme Ferragut, Shishehbor, Mehdi, Bezerra, Hiram Grando
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 18.12.2019; Elsevier
• Subjects: Case Report; coronary bifurcation lesion; mechanical circulatory support; OCT; optical coherence tomography; PCI; percutaneous coronary intervention; rotational atherectomy; stent expansion; LCx; OCT; LM; rotational atherectomy; optical coherence tomography; mechanical circulatory support; coronary bifurcation lesion; LAD; RCA; percutaneous coronary intervention; NC; PCI; stent expansion
• ISSN: 2666-0849; 2666-0849
• DOI: 10.1016/j.jaccas.2019.11.012

We describe a complex percutaneous coronary intervention using rotational atherectomy (Rotablator, Boston Scientific, Marlborough, Massachusetts) and mechanical circulatory support (Impella, Abiomed, Danvers, Massachusetts) in a patient with multiple comorbidities scheduled to undergo a left main coronary percutaneous coronary intervention using a 2-stent technique based on angiography. However, intracoronary optical coherence tomography changed our strategy to a successful single-stent procedure. (Level of Difficulty: Advanced.) [Display omitted] We describe a complex percutaneous coronary intervention using rotational atherectomy (Rotablator; Boston Scientific, Marlborough, Massachusetts) and…