| Successful rotational atherectomy in the setting of extensive coronary dissection: a case of failed balloon angioplasty in a nondilatable calcified lesion complicated by balloon rupture and extensive dissection. | |
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MedLine Citation:
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PMID: 12822151 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a case of rotational atherectomy (RA) used in the setting of extensive coronary dissection. Unsuccessful predilitation of a heavily calcified proximal LAD stenosis resulted in balloon rupture, which produced occlusive dissection extending into the mid LAD. Limited options for this patient required that we perform RA to permit stent delivery and deployment and avoid anterior myocardial infarction. A brief discussion of reasons for balloon angioplasty failure and the potential role for subsequent RA is given. Predictors for coronary perforation when performing RA are reviewed. Our rationale and strategy to avoid the increased risk of perforation with RA in this contraindicated setting of extensive dissection is given. |
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Authors:
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Wesley R Pedersen; Irvin F Goldenberg; Randall K Johnson; Michael R Mooney |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 59 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-06-24 Completed Date: 2003-11-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 329-32 Citation Subset: IM |
Copyright Information:
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Copyright 2003 Wiley-Liss, Inc. |
Affiliation:
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Abbott Northwestern Hospital and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*, instrumentation*, methods Atherectomy, Coronary / methods* Calcinosis / radiography, therapy Coronary Angiography / methods Coronary Restenosis / etiology, radiography, therapy* Coronary Stenosis / radiography*, therapy Coronary Vessels / injuries Equipment Failure Female Follow-Up Studies Humans Risk Assessment Rupture, Spontaneous / etiology, radiography, surgery Severity of Illness Index Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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