Key result
Rotational atherectomy successfully facilitates retrograde PCI of a complex totally occluded RCA.
Why the study?
Chronic total occlusion lesions present a major challenge for interventional cardiologists, requiring novel techniques for successful revascularization.
Rotational atherectomy can be successfully used to facilitate retrograde PCI of complex right coronary artery chronic total occlusions after proximal cap modification.
Answers are grounded in this paper and cite their sources.
May aid retrograde CTO PCI in select cases; hypothesis-generating and should not yet change practice.
Chronic total occlusion lesions present a major challenge for the interventional cardiologist. In this case, we report the successful use of rotational atherectomy to facilitate retrograde percutaneous coronary intervention of a complex totally occluded right coronary artery after modification of the proximal cap of the lesion to enable placement of the RotaWire in the vessel architecture.
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Yakubu et al. (2021) studied this question. Rotational atherectomy successfully facilitated retrograde percutaneous coronary intervention of a complex totally occluded right coronary artery.
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