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Calcified distal Left Main and LAD stenoses

Case of the month: June 2017

This 20-minute case concerns an 83-year-old man with stable angina, good LV function, and permanent atrial fibrillation on long-term anticoagulation. 
This patient was first treated with a 1.75 millimeter burr on the RCA followed by DES. WATCH IT NOW!

Step-by-Step Procedure

  • Description of the challenge of the day 
  • Placement of the Rotawire 
  • Rotablation technique and rotablation cocktail 
  • Rotablation of left main and left descending artery 
  • Post dilatation and post IVUS evaluation 
  • LAD and left main stenting, IVUS evaluation 

Learning points

  • The use of the Rotablator on RCA 
  • The placement of the Rotablator guidewire using a micro-catheter to exchange GW
  • The Rotablation cocktail and the Rotablation technique
  • IVUS evaluation after Burr debulking

Bibliography

 



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