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
- Journal volume & issue
-
Vol. 1,
no. 5
pp. 811 – 814
Abstract
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.)
