Complex Case: Rotational Atherectomy in Myocardial Infarction

  • Jonathan Yap
  • Jack Wei Chieh TanEmail author
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)


The patient was a 65-year-old Indian male, with a significant history of diabetes mellitus, chronic kidney disease, and asthma. He was admitted for anterolateral ST-elevation myocardial infarction (Fig. 15.1) complicated by cardiogenic shock requiring intubation and intra-aortic balloon pump insertion. Coronary angiography revealed heavily calcified triple vessel disease (Figs. 15.1 and 15.2; Videos 15.1, 15.2, and 15.3). The family declined coronary artery bypass grafting. In view of ongoing cardiogenic shock, the decision was made to proceed with multivessel percutaneous coronary intervention.

Supplementary material

Video 15.1

(MP4 4171 kb)

Video 15.2

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Video 15.3

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Video 15.4

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Video 15.5

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Video 15.6

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Video 15.7

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Video 15.8

(MP4 4358 kb)


  1. 1.
    van Gaal WJ, Banning AP. Percutaneous coronary intervention and the no-reflow phenomenon. Expert Rev Cardiovasc Ther. 2007;5(4):715–31.CrossRefPubMedGoogle Scholar
  2. 2.
    Barseghian A. Breaking the rules: use of rotational atherectomy in STEMI. Cath Lab Digest. 2014;22(3):54–55Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore

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