Abstract
A 77-year-old man presented with acute coronary syndrome. He had a history of diabetes mellitus, hypertension, dyslipidemia, and smoking. Diagnostic angiogram showed severe triple vessel disease with left main involvement. The RCA is shown in Figs. 17.1 and 17.2 (Videos 17.1 and 17.2). His left ventricular function was severely impaired, and his blood pressure was 90 mmHg. He declined surgery and was referred for high-risk PCI.
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Baseline angiograms of the RCA in different projections (AVI 191579 kb)
Baseline angiograms of the RCA in different projections (AVI 170027 kb)
Images showing rotablation of distal RCA and the right posterolateral branches (AVI 179606 kb)
Images showing rotablation of distal RCA and the right posterolateral branches (AVI 124528 kb)
Final angiographic results showing TIMI 3 flow (AVI 143685 kb)
Final angiographic results showing TIMI 3 flow (AVI 148475 kb)
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Yeo, K.K. (2018). Complex Case: Rotablation in Distal RCA. In: Low, R., Yeo, K. (eds) Clinical Cases in Coronary Rotational Atherectomy. Clinical Cases in Interventional Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-60490-9_17
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DOI: https://doi.org/10.1007/978-3-319-60490-9_17
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