Abstract
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.
Keywords
- Rotational Atherectomy
- Multivessel Percutaneous Coronary Intervention
- Intra-aortic Balloon Pump Insertion
- Cardiogenic Shock
- Chronic Kidney Disease
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
van Gaal WJ, Banning AP. Percutaneous coronary intervention and the no-reflow phenomenon. Expert Rev Cardiovasc Ther. 2007;5(4):715–31.
Barseghian A. Breaking the rules: use of rotational atherectomy in STEMI. Cath Lab Digest. 2014;22(3):54–55
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
(MP4 4171 kb)
(MP4 4249 kb)
(MP4 5257 kb)
(MP4 389 kb)
(MP4 11397 kb)
(MP4 5575 kb)
(MP4 11375 kb)
(MP4 4358 kb)
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Yap, J., Wei Chieh Tan, J. (2018). Complex Case: Rotational Atherectomy in Myocardial Infarction. In: Low, R., Yeo, K. (eds) Clinical Cases in Coronary Rotational Atherectomy. Clinical Cases in Interventional Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-60490-9_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-60490-9_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60488-6
Online ISBN: 978-3-319-60490-9
eBook Packages: MedicineMedicine (R0)