Clinical Cases in Coronary Rotational Atherectomy by Reginald Low & Khung Keong Yeo

Author:Reginald Low & Khung Keong Yeo
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Figure 15.2Calcified diffuse lesion from proximal to distal LAD

Figure 15.3Calcified disease in distal LCX

The RCA was pre-dilated sequentially with a compliant 2.0 mm and non-compliant (NC) 2.5 mm balloon. However, the lesion was inadequately expanded (Fig. 15.4; Videos 15.3 and 15.4). Two runs of rotablation were then performed using a 1.5 mm burr (Fig. 15.5; Video 15.5), which helped to better prepare the lesion. This was followed by stenting with two overlapping 3.5 mm drug-eluting stent placement and post-dilation with NC 3.5 mm balloon. Video 15.6 show the well-expanded DES in RCA.

Figure 15.4“Dogged boned” 2.5mm NC balloon signifying a calcified lesion that cannot be dilated

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