A Case of Rota-Shock-Pella

Abstract

Severe calcified coronary lesions are frequently encountered in today’s percutaneous coronary intervention practice and remain a challenging entity in complex and high-risk patients. The present case illustrates the contemporary approach to management of this coronary problem from hemodynamic support, optical coherence tomography assessment, and plaque modification technique. (Level of Difficulty: Advanced.)

Keywords

• Impella
• OCT
• PCI
• rotational atherectomy
• Shockwave lithotripsy