Abstract
A 77-year-old man with a history of end-stage renal disease, ischemic cardiomyopathy (LVEF 30%) presented with a non-ST elevation myocardial infarction, and pulmonary edema. Initial right heart catheterization demonstrated that the patient was in cardiogenic shock, with systolic blood pressure of 90 mmHg and cardiac index of 1.5 L/min/m . Coronary angiography demonstrated a calcified left main as well a 90% proximal LAD and 95% circumflex lesion, and PCI was undertaken with rotational atherectomy. This case highlights that rotational atherectomy can be safely performed with experience, good technique, and appropriate planning including hemodynamic support with an intra-aortic balloon pump.
Keywords
- Cardiogenic Shock
- Rotational Atherectomy
- Intra-aortic Balloon Pump
- Ischemic Cardiomyopathy
- Good Technique
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.
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Stauber, B.D., Low, R.I., Singh, G.D. (2018). Complex Case: Rotablation in Cardiogenic Shock. 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_18
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DOI: https://doi.org/10.1007/978-3-319-60490-9_18
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60488-6
Online ISBN: 978-3-319-60490-9
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