Extra-plaque rotational atherectomy for treating a balloon uncrossable ostial right coronary artery chronic total occlusion

Cardiovasc Revasc Med. 2024 Jan:58:50-51. doi: 10.1016/j.carrev.2023.06.002. Epub 2023 Jun 5.

Authors

Marcelo Harada Ribeiro¹, Luis Augusto Palma Dallan², Franklin Hanna Quesada³, Franklin Hanna Rodriguez³, Cristina Silveira⁴, Michael S Megaly⁵, Emmanouil Brilakis⁶, Lorenzo Azzalini⁷

Affiliations

¹ SOS Cardio Hospital, Florianopolis, SC, Brazil. Electronic address: [email protected].
² University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
³ Clinica Comfamiliar, Pereira, Colombia.
⁴ SOS Cardio Hospital, Florianopolis, SC, Brazil.
⁵ Willis Knighton Heart Institute, Shreveport, LA, USA.
⁶ Minneapolis Heart Institute, Minneapolis, MN, USA.
⁷ University of Washington, Seattle, WA, USA.

PMID: 37296001
DOI: 10.1016/j.carrev.2023.06.002

Abstract

Performing atherectomy in the subintimal space remains controversial. We describe a case of successful ostial right coronary artery CTO recanalization using rotational atherectomy in subintimal space.

Keywords: CTO; Chronic total occlusion; PCI; Wire-impenetrable cap; Wire-uncrossable cap.

Copyright © 2023 Elsevier Inc. All rights reserved.

Publication types

Case Reports

MeSH terms

Angioplasty, Balloon, Coronary*
Atherectomy, Coronary*
Chronic Disease
Coronary Angiography
Coronary Occlusion* / diagnostic imaging
Coronary Occlusion* / surgery
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery
Humans
Percutaneous Coronary Intervention*
Plaque, Atherosclerotic*
Treatment Outcome