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Complex Case: Rotational Atherectomy Involving the Left Main Coronary Artery

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

Abstract

An 88-year-old man with high-risk NSTEMI was referred for angiography. He was found to have critical left main disease with a 99 % stenosis involving the proximal left anterior descending (LAD) artery and the proximal circumflex (LCX) stenosis consistent with Medina 1,1,1. Due to his co-morbid conditions, he was ultimately turned down for surgical intervention, and referred for PCI. He underwent successful interventional under ECMO support of the left main, proximal LAD and left circumflex coronary arteries, illustrating an example of complex and high-risk PCI involving bifurcation disease.

Supplementary material

Video 9.1

Ellis type I vessel perforation of the left circumflex post-rotational atherectomy, white circle illustrating extravasation of contrast material outside of vessel wall that is not free flowing but rather contained within a cap (WMV 16145 kb)

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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