ROTATIONAL ATHERECTOMY WITH CUTTING BALLOON FOR COMPLEX CALCIFIED CORONARY LESION: A CASE REPORT

Researchers & Contributors

MBBS (Hons) MD DNB (Medicine) MRCP (UK) DM (Cardiology)

Consultant and Interventional Cardiologist

Department of Cardiology

Woodlands Multispeciality Hospital

Kolkata, West Bengal, India

CAG showed a normal LMCA, 40% plaque in the LAD, proximal LCX cut-off, and severely calcified RCA with subtotal occlusion from the mid-RCA.

CAG showed a normal LMCA, 40% plaque in the LAD, proximal LCX cut-off, and severely calcified RCA with subtotal occlusion from the mid-RCA.

CAG showed a normal LMCA, 40% plaque in the LAD, proximal LCX cut-off, and severely calcified RCA with subtotal occlusion from the mid-RCA.

Exchange of the JR catheter with an AL 0.75 6-Fr guiding catheter and rewiring of the lesion.

Exchange of the JR catheter with an AL 0.75 6-Fr guiding catheter and rewiring of the lesion.

Exchange of the JR catheter with an AL 0.75 6-Fr guiding catheter and rewiring of the lesion.

Postdilatation using a 2.5 × 12 mm NC balloon.

Postdilatation using a 2.5 × 12 mm NC balloon.

Postdilatation using a 2.5 × 12 mm NC balloon.

IVUS revealed a 360° calcium arc with an MLA of 2.8 mm².

IVUS revealed a 360° calcium arc with an MLA of 2.8 mm².

Post-predilatation using a 2.75 × 10 mm cutting balloon, IVUS showed more than three cuts at the tightest areas.

Post-predilatation using a 2.75 × 10 mm cutting balloon, IVUS showed more than three cuts at the tightest areas.

Deployment of two overlapping DES (3.0 × 32 mm distally and 3.5 × 24 mm proximally).

Deployment of two overlapping DES (3.0 × 32 mm distally and 3.5 × 24 mm proximally).

Final IVUS, followed by post-dilatation, showed a well-apposed and well-expanded stent with an MSA of 6 mm² and no edge dissection.

Final IVUS, followed by post-dilatation, showed a well-apposed and well-expanded stent with an MSA of 6 mm² and no edge dissection.

TIMI III flow; TPM removed

TIMI III flow; TPM removed