Rotational atherectomy for calcified lesions during ST-segment elevation myocardial infarction: a case series and literature review.
| Autor: | Brown KN; Division of Cardiovascular Diseases, University of Nebraska Medical Center, 4200 Emile St., Omaha, NE 68198, USA., Jhand AS; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA., Chatzizisis Y; Division of Cardiovascular Diseases, University of Miami Miller School of Medicine, Miami, FL, USA., Goldsweig AM; Division of Cardiovascular Diseases, Baystate Health / UMass Chan Medical School, Springfield, MA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | European heart journal. Case reports [Eur Heart J Case Rep] 2023 May 09; Vol. 7 (5), pp. ytad207. Date of Electronic Publication: 2023 May 09 (Print Publication: 2023). |
| DOI: | 10.1093/ehjcr/ytad207 |
| Abstrakt: | Background: ST elevation myocardial infarction (STEMI) has traditionally been a relative contraindication for the utilization of rotational atherectomy (RA). However, in severely calcified lesions, RA may be necessary to facilitate stent delivery. Case Summary: Three patients who present with STEMI are found to have severely calcified lesions on intravascular ultrasound. Equipment was unable to pass the lesions in all three cases. Rotational atherectomy was therefore performed to allow for stent passage. All three cases had achieved successful revascularization with no intraoperative or post-operative complications. The patients remained angina-free the rest of their hospitalization and at the 4 month follow-up. Discussion: Rotational atherectomy for calcific plaque modification during STEMI when equipment will not pass is a feasible and safe therapeutic option. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.) |
| Databáze: | MEDLINE |
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