Rotation aterectomy: complications after percutaneous coronary intervention on the right coronary artery

    Authors

    Keywords

    rotation aterectomy, percutaneous coronary intervention, distal embolization, calcium, atherosclerotic plaque

    DOI

    https://doi.org/10.15836/ccar2022.328

    Full Text

    Distal embolization, during coronary intervention, of thrombotic material resulting in compromised coronary flow is a common complication usually described in the context of invasive treatment of acute ST-segment elevation myocardial infarction (STEMI) ( 1 ). In our case, we report distal embolization, presumably with a calcified atherosclerotic plaque fragment. It occurred during an elective percutaneous coronary intervention on the subostial part of the right coronary artery. Fortunately, this embolization did not compromise distal flow, but it did result in a significant „de novo” lesion of the right coronary artery crux. This lesion was uncrossable with dilatation balloons using a variety of different basic and advanced tools and techniques. Therefore, we decided to perform a rotational atherectomy that enabled a successful percutaneous coronary intervention with stent implantation.

    Cardiologia Croatica
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    Rotation aterectomy: complications after percutaneous coronary intervention on the right coronary artery

    Extended Abstract
    Issue9-10
    Published
    Pages328
    PDF via DOIhttps://doi.org/10.15836/ccar2022.328
    rotation aterectomy
    percutaneous coronary intervention
    distal embolization
    calcium
    atherosclerotic plaque

    Authors

    Nikolina Vidaković*ORCID“Merkur” University Hospital, Zagreb, Croatia
    Kristina PavlovićORCID“Merkur” University Hospital, Zagreb, Croatia

    Full Text

    Distal embolization, during coronary intervention, of thrombotic material resulting in compromised coronary flow is a common complication usually described in the context of invasive treatment of acute ST-segment elevation myocardial infarction (STEMI) ( 1 ). In our case, we report distal embolization, presumably with a calcified atherosclerotic plaque fragment. It occurred during an elective percutaneous coronary intervention on the subostial part of the right coronary artery. Fortunately, this embolization did not compromise distal flow, but it did result in a significant „de novo” lesion of the right coronary artery crux. This lesion was uncrossable with dilatation balloons using a variety of different basic and advanced tools and techniques. Therefore, we decided to perform a rotational atherectomy that enabled a successful percutaneous coronary intervention with stent implantation.