Key result
High-speed rotational ablation successfully treated a heavily calcified and almost completely occluded left main coronary artery stenosis in an elderly woman with cardiogenic shock.
Case Report (n=1)
High-speed rotational ablation can be successfully performed as an emergency procedure for heavily calcified left main coronary artery stenosis in the setting of cardiogenic shock.
May support rotational atherectomy in emergent calcified LM PCI with shock; hypothesis-generating and requires prospective validation.
High-speed rotational ablation is ideal in the treatment of chronic calcified atherosclerotic lesions. This report describes an elderly woman with a prior history of coronary artery bypass surgery, who developed cardiogenic shock secondary to occlusion of a saphenous vein graft to the obtuse marginal branch of the circumflex coronary artery. Her left main coronary artery was heavily calcified and almost completely occluded. She was treated successfully by high-speed rotational ablation of her left main stenosis.
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Rozenman et al. (1995) conducted a case report in Cardiogenic shock and calcified left main coronary artery stenosis (n=1). High-speed rotational ablation was evaluated on Successful treatment of left main stenosis. High-speed rotational ablation successfully treated a heavily calcified and almost completely occluded left main coronary artery stenosis in an elderly woman with cardiogenic shock.
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