Rotational Atherectomy and Mechanical Support to Treat Left Main
We describe a complex percutaneous coronary intervention using rotational atherectomy (Rotablator, Boston Scientific, Marlborough, Massachusetts) and mechanical circulatory support (Impella, Abiomed, Danvers, Massachusetts) in a patient with multiple comorbidities scheduled to undergo a left main co...
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Format: | Article |
Language: | English |
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Elsevier
2019-12-01
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Series: | JACC: Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084919304620 |
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author | Luis Augusto Palma Dallan, MD Marcelo Harada Ribeiro, MD Chinedu Igwe, MD Gabriel Tensol Pereira Rodrigues, MD Elder Iarossi Zago, MD Vladislav Zimin, MD, PhD Armando Vergara-Martel, MS Marco Costa, MD, PhD Guilherme Ferragut Attizzani, MD Mehdi Shishehbor, DO, MPH, PhD Hiram Grando Bezerra, MD, PhD |
author_facet | Luis Augusto Palma Dallan, MD Marcelo Harada Ribeiro, MD Chinedu Igwe, MD Gabriel Tensol Pereira Rodrigues, MD Elder Iarossi Zago, MD Vladislav Zimin, MD, PhD Armando Vergara-Martel, MS Marco Costa, MD, PhD Guilherme Ferragut Attizzani, MD Mehdi Shishehbor, DO, MPH, PhD Hiram Grando Bezerra, MD, PhD |
author_sort | Luis Augusto Palma Dallan, MD |
collection | DOAJ |
description | We describe a complex percutaneous coronary intervention using rotational atherectomy (Rotablator, Boston Scientific, Marlborough, Massachusetts) and mechanical circulatory support (Impella, Abiomed, Danvers, Massachusetts) in a patient with multiple comorbidities scheduled to undergo a left main coronary percutaneous coronary intervention using a 2-stent technique based on angiography. However, intracoronary optical coherence tomography changed our strategy to a successful single-stent procedure. (Level of Difficulty: Advanced.) |
first_indexed | 2024-12-18T21:14:00Z |
format | Article |
id | doaj.art-9edb3487dd4d42f7be0f00a75b851bdc |
institution | Directory Open Access Journal |
issn | 2666-0849 |
language | English |
last_indexed | 2024-12-18T21:14:00Z |
publishDate | 2019-12-01 |
publisher | Elsevier |
record_format | Article |
series | JACC: Case Reports |
spelling | doaj.art-9edb3487dd4d42f7be0f00a75b851bdc2022-12-21T20:52:27ZengElsevierJACC: Case Reports2666-08492019-12-0115811814Rotational Atherectomy and Mechanical Support to Treat Left MainLuis Augusto Palma Dallan, MD0Marcelo Harada Ribeiro, MD1Chinedu Igwe, MD2Gabriel Tensol Pereira Rodrigues, MD3Elder Iarossi Zago, MD4Vladislav Zimin, MD, PhD5Armando Vergara-Martel, MS6Marco Costa, MD, PhD7Guilherme Ferragut Attizzani, MD8Mehdi Shishehbor, DO, MPH, PhD9Hiram Grando Bezerra, MD, PhD10Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio; InCor–Heart Institute, Clinical Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil; Address for correspondence: Dr. Luis Augusto Palma Dallan, Division of Cardiovascular Medicine–Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, Ohio 44106.InCor–Heart Institute, Clinical Hospital, School of Medicine, University of São Paulo, São Paulo, BrazilValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioValve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OhioWe describe a complex percutaneous coronary intervention using rotational atherectomy (Rotablator, Boston Scientific, Marlborough, Massachusetts) and mechanical circulatory support (Impella, Abiomed, Danvers, Massachusetts) in a patient with multiple comorbidities scheduled to undergo a left main coronary percutaneous coronary intervention using a 2-stent technique based on angiography. However, intracoronary optical coherence tomography changed our strategy to a successful single-stent procedure. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084919304620coronary bifurcation lesionmechanical circulatory supportOCToptical coherence tomographypercutaneous coronary interventionPCI |
spellingShingle | Luis Augusto Palma Dallan, MD Marcelo Harada Ribeiro, MD Chinedu Igwe, MD Gabriel Tensol Pereira Rodrigues, MD Elder Iarossi Zago, MD Vladislav Zimin, MD, PhD Armando Vergara-Martel, MS Marco Costa, MD, PhD Guilherme Ferragut Attizzani, MD Mehdi Shishehbor, DO, MPH, PhD Hiram Grando Bezerra, MD, PhD Rotational Atherectomy and Mechanical Support to Treat Left Main JACC: Case Reports coronary bifurcation lesion mechanical circulatory support OCT optical coherence tomography percutaneous coronary intervention PCI |
title | Rotational Atherectomy and Mechanical Support to Treat Left Main |
title_full | Rotational Atherectomy and Mechanical Support to Treat Left Main |
title_fullStr | Rotational Atherectomy and Mechanical Support to Treat Left Main |
title_full_unstemmed | Rotational Atherectomy and Mechanical Support to Treat Left Main |
title_short | Rotational Atherectomy and Mechanical Support to Treat Left Main |
title_sort | rotational atherectomy and mechanical support to treat left main |
topic | coronary bifurcation lesion mechanical circulatory support OCT optical coherence tomography percutaneous coronary intervention PCI |
url | http://www.sciencedirect.com/science/article/pii/S2666084919304620 |
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