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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2019, Number 1

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Cir Card Mex 2019; 4 (1)

Revascularización miocárdica de emergencia secundaria a rotoablación fallida

León-García E, Ortega-Romo E, Roldán-Morales D, Zamudio-López JO, Ramírez-Castañeda A, Riera-Kinkel C
Full text How to cite this article

Language: Spanish
References: 8
Page: 23-26
PDF size: 273.53 Kb.


Key words:

Acute coronary artery obstruction, Coronary perforation, Emergency coronary artery bypass grafting, Rotablation complications.

ABSTRACT

The rotoablation is a technique for plaque removal in heavily calcified coronary artery lesions in order to improve the stent implantations. However, it is not a complication-free one. We present herein the case of a 76-year-old male patient with trivasvular coronary artery disease. He underwent rotablation procedure on the anterior descending coronary artery, with device-olive entrapment and coronary ischemia data. Urgent coronary revascularization was performed, requiring a 3 cm long endarterectomy for olive releasement. The patient's course was uneventful.


REFERENCES

  1. Dash D. Percutaneous coronary rotational atherectomy: Does it make sense in 2018?. Journal of Indian College of Cardiology 2018;8:80-6.

  2. Wang TJ, Chiang MH, Huang SS, et al. Clinical outcomes of percutaneous coronaryintervention with rotablation in patients with acure or recent myocardialinfarction. J Chin Med Assoc 2017;80:523-38.

  3. Eftychiou C, Barmby DS, Wilson SJ, et al. Cardiovascular Outcomes FollowingRotational Atherectomy: A UK multicentre Experience. Catheter CardiovascularInterven 2016; 8:546-53.

  4. Carrozza JP, Levine T. Periprocedural complications of percutaneous coronaryintervention. 2018 https://www-uptodate-com.pibi.unam.mx:2443/contents/coronary-complicactios-of-atheroablative-devices?search . Accesado el 26 deNoviembre del 2018.

  5. Sakakura K, Inohara T, Kohsaka S, et al. Incidence and determinants of complicationson rotational atherectomy. insights from the national clinical data (J-PCIRegistry). Circ Cardiovasc Interv 2016;9: e004278. doi: 10.1161/CIRCINTERVENTIONS.116.004278.

  6. Lelasi A, Kawamoto H, Latib A, et al. In Hospital and 1-Year outcomes of rotationalatherectomy and stent implantation in patients with severely calcifiedunprotected left main narrowings (from Multicenter ROTATE Registry). Am JCardiol 2017;119:1331-7.

  7. Koifman E, García-García HM, Kuku KO, et al. Comparison of the efficacy andsafety of orbital and rotational atherectomia in calcified narrowings in patientswho underwent percutaneous coronary intervention. Am J Cardiol 2018;12:934-9.

  8. Édes IF, Ruzsa Z, Szabó G, et al. Clinical predictors of mortality following rotationalatherectomy and stent implantation in high-risk patients. a single centerexperience. Catheter Cardiovasc Interven 2015; 86:634-42.




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C?MO CITAR (Vancouver)

Cir Card Mex. 2019;4