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Complex Case: Rota Gutter in RCA

  • Bradley D. Stauber
  • Reginald I. Low
  • Gagan D. Singh
Chapter
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)

Abstract

A 75-year-old man with a history of CAD with prior CABG, DM, HTN, and CKD presented with NSTEMI. While the left-sided system was well revascularized, the graft to the RCA was occluded and the decision was made to perform PCI on the heavily calcified and tortuous RCA. With a “shepherd’s crook” at the proximal RCA, rotational atherectomy was attempted, but likely led to the complication of formation of a “gutter.” Guttering is a known complication of rotational atherectomy and can be treated conservatively or aggressively.

Reference

  1. 1.
    Tomey MI, Kini AS, Sharma SK. Current status of rotational atherectomy. J Am Coll Cardiol Intv. 2014;7(4):345–53.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Bradley D. Stauber
    • 1
  • Reginald I. Low
    • 1
  • Gagan D. Singh
    • 2
  1. 1.Division of Cardiovascular MedicineUniversity of California, Davis Medical CenterSacramentoUSA
  2. 2.Division of Cardiovascular MedicineUniversity of California, Davis Medical CenterSacramentoUSA

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