Specials: Rotablation Through Jailed LAD
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.
Baseline angiogram of the LAD (MOV 8205 kb)
Crossing the lesion with a rota extra-support wire from a Finecross microcatheter (MOV 11463 kb)
Rotational atherectomy through the stent struts (MOV 11609 kb)
Final coronary angiogram showing an excellent result (MOV 5756 kb)