2021, Number 3
Cardiovasc Metab Sci 2021; 32 (3)
Coronary rotational aterectomy in an injury with unexpanded stent restenosis
Flores-Galaviz, Augusto Alex Octavio; Salinas-Aragón, Miguel Ángel; Rodríguez-Barriga, Erika Aracely; Calero-Barba, Alejandra Patricia; Vasconcelos-Ulloa, Javier de Jesús
ABSTRACT
High calcium content lesions are probably the most challenging and more likely to negatively impact both acute and long-term results in a percutaneous coronary intervention. The rotational atherectomy technique has shown to be safe and effective in treatment when labeled as a removal technique of the subsets of calcified coronary lesions. Several studies show an increase in the procedure's success with a relatively low rate of complications of dissection or perforation. However, there is a margin of error in which we found ourselves with cases where atypical situations occurred that carry a risk of dissection, perforation, and slow/no reflux, among other complications. Therefore, this work shows a patient with complications after undergoing rotational atherectomy, the corrective procedure for eliminating the presented problem, and displays a precedent on the procedure in case of complications with rotational atherectomy.