Abstract

FLORES-GALAVIZ, Augusto Alex Octavio et al. Coronary rotational aterectomy in an injury with unexpanded stent restenosis. Cardiovasc. metab. sci [online]. 2021, vol.32, n.3, pp.128-131.  Epub Apr 05, 2024. ISSN 2954-3835.  https://doi.org/10.35366/101305.

High calcium content lesions are probably the most challenging and more likely to negatively impact both acute and long-term results in a percutaneous coronary intervention. The rotational atherectomy technique has shown to be safe and effective in treatment when labeled as a removal technique of the subsets of calcified coronary lesions. Several studies show an increase in the procedure’s success with a relatively low rate of complications of dissection or perforation. However, there is a margin of error in which we found ourselves with cases where atypical situations occurred that carry a risk of dissection, perforation, and slow/no reflux, among other complications. Therefore, this work shows a patient with complications after undergoing rotational atherectomy, the corrective procedure for eliminating the presented problem, and displays a precedent on the procedure in case of complications with rotational atherectomy.

Keywords : Rotational atherectomy; percutaneous coronary intervention; calcified coronary lesion; unexpanded coronary stent.

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