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Complex Case: Rotablation in Distal RCA

Chapter
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)

Abstract

A 77-year-old man presented with acute coronary syndrome. He had a history of diabetes mellitus, hypertension, dyslipidemia, and smoking. Diagnostic angiogram showed severe triple vessel disease with left main involvement. The RCA is shown in Figs. 17.1 and 17.2 (Videos 17.1 and 17.2). His left ventricular function was severely impaired, and his blood pressure was 90 mmHg. He declined surgery and was referred for high-risk PCI.

Supplementary material

Video 17.1

Baseline angiograms of the RCA in different projections (AVI 191579 kb)

Video 17.2

Baseline angiograms of the RCA in different projections (AVI 170027 kb)

Video 17.3

Images showing rotablation of distal RCA and the right posterolateral branches (AVI 179606 kb)

Video 17.4

Images showing rotablation of distal RCA and the right posterolateral branches (AVI 124528 kb)

Video 17.5

Final angiographic results showing TIMI 3 flow (AVI 143685 kb)

Video 17.6

Final angiographic results showing TIMI 3 flow (AVI 148475 kb)

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore

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