CORONARY - Adjunctive Procedures (Thrombectomy, Atherectomy, Special Balloons)
Complex Calcific Anomalous Right Coronary Artery PCI with Rotablation
Debdatta Bhattacharyya1, Siddhartha Mani1, Ayan Kar
NH-Rabindranath Tagore International Institute of Cardiac Sciences, India1,
LMCA: normalLAD: large caliber vessel with tram track calcium and no 40-50% diseaseLCX: non dominant and free from significant diseaseRCA: anomalous high posterior origin, dominant vessel, long segment calcific disease involving the proximal mid and distal RCA with a tight 90 % lesion in the mid RCA MRK final result.avi
▪During Rotablation of RCA, care should be taken regarding proper burr orientation with respect to vessel lumen before commencement of burring.
▪Long segment calcific disease is more likely to cause slow flow and its attendant complications.
▪Intravascular imaging after the rota-run is helpful in forming stenting strategies and requirement for further plaque modification.
▪Due care should be taken regarding post-rota vessel optimization with further balloon dilatation before implanting stents.
▪Stenting should be followed by careful post-dilatation with final intravascular imaging to confirm adequate stent deployment.