Rotational Atherectomy and Mechanical Support to Treat Left Main

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

doi:10.1016/j.jaccas.2019.11.012

JACC: Case Reports (Dec 2019)

Rotational Atherectomy and Mechanical Support to Treat Left Main

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

Affiliations

Luis Augusto Palma Dallan, MD: Valve 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.
Marcelo Harada Ribeiro, MD: InCor–Heart Institute, Clinical Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil
Chinedu Igwe, MD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Gabriel Tensol Pereira Rodrigues, MD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Elder Iarossi Zago, MD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Vladislav Zimin, MD, PhD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Armando Vergara-Martel, MS: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Marco Costa, MD, PhD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Guilherme Ferragut Attizzani, MD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Mehdi Shishehbor, DO, MPH, PhD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Hiram Grando Bezerra, MD, PhD: Valve and Structural Heart Disease Intervention Center, Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio

DOI: https://doi.org/10.1016/j.jaccas.2019.11.012
Journal volume & issue: Vol. 1, no. 5
pp. 811 – 814

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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