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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2000, Number 1

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An Med Asoc Med Hosp ABC 2000; 45 (1)

Rotational coronary atherectomym in a high risk case

Clavellina RJM, Varela CM

Language: Spanish
References: 5
Page: 41-44
PDF size: 240.08 Kb.


ABSTRACT

Percutaneous coronary angioplasty (PCA) has been frequently used for coronary disease. Its success in patients more than 70 years is in relation to the complexity and calcification of the lesion. Rotational atherectomy (RA) increases success in this kind of lesion. We present the case of man 82 years old with a complex lesion in the left descending coronary artery in its third half, calcified and complex in which PCA was unsuccessful and produced dissection in the place of the lesion. This is one contraindication which is stipulated for RA, however because the high surgical risk we considered the atherectomy as a best option. It was successful and we could put a stent in the lesion. We think that the most important factor necessary for the success of this procedure is the diameter of the vessel and the coronary flow.


REFERENCES

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