Specials: Rotablation Through Jailed LAD

  • Himanshu Gupta
  • Khung Keong YeoEmail author
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)


An 86-year-old man with a history of established coronary artery disease and risk factors of diabetes mellitus and hypertension presented with unstable angina for 1 month with two to three episodes of rest angina. Previous cardiac history included three PCI procedures: balloon angioplasty to the LAD in year 1996, PCI with DES to mid-LAD (Taxus 2.5 × 24 mm) in year 2002, and PCI with DES for LAD in-stent restenosis with (Cypher 2.5 × 33 mm) in year 2005.

Supplementary material

Video 26.1

Baseline angiogram of the LAD (MOV 8205 kb)

Video 26.2

Crossing the lesion with a rota extra-support wire from a Finecross microcatheter (MOV 11463 kb)

Video 26.3

Rotational atherectomy through the stent struts (MOV 11609 kb)

Video 26.4

Final coronary angiogram showing an excellent result (MOV 5756 kb)


  1. 1.
    Lee S, Park KW, Kim HS. Stentablation of an underexpanded stent in a heavily calcified lesion using rotational atherectomy. J Cardiovasc Med (Hagerstown). 2012;13:284–8.CrossRefGoogle Scholar
  2. 2.
    Okamura A, Ito H, Fujii K. Rotational atherectomy is useful to treat restenosis lesions due to crushing of a sirolimus-eluting stent implanted in severely calcified lesions: experimental study and initial clinical experience. J Invasive Cardiol. 2009;21:E191–6.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore
  2. 2.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore

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