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Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock

Rotational atherectomy (RA) is a proven technique to modify a heavily calcified coronary lesion if balloon angioplasty failed. RA is frequently avoided in ST-elevation myocardial infarction (STEMI) as it may increase the risk of slow or no-reflow. It is also considered to be relatively contraindicat...

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Autores principales: Islami, Zaki Horizon, Bagaswoto, Hendry Purnasidha, Taufiq, Nahar, Setianto, Budi Yuli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123955/
https://www.ncbi.nlm.nih.gov/pubmed/34007220
http://dx.doi.org/10.2147/IMCRJ.S295649
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author Islami, Zaki Horizon
Bagaswoto, Hendry Purnasidha
Taufiq, Nahar
Setianto, Budi Yuli
author_facet Islami, Zaki Horizon
Bagaswoto, Hendry Purnasidha
Taufiq, Nahar
Setianto, Budi Yuli
author_sort Islami, Zaki Horizon
collection PubMed
description Rotational atherectomy (RA) is a proven technique to modify a heavily calcified coronary lesion if balloon angioplasty failed. RA is frequently avoided in ST-elevation myocardial infarction (STEMI) as it may increase the risk of slow or no-reflow. It is also considered to be relatively contraindicated in lesions with a visible thrombus, by its manufacturer. Regardless, RA may be a life-saving procedure in cases where no other percutaneous coronary intervention (PCI) technique is available to modify the lesion adequately. This case reports successful use of RA to facilitate dilation and stent delivery of a previously non-dilatable lesion in a patient with sub-acute anterior STEMI complicated by cardiogenic shock.
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spelling pubmed-81239552021-05-17 Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock Islami, Zaki Horizon Bagaswoto, Hendry Purnasidha Taufiq, Nahar Setianto, Budi Yuli Int Med Case Rep J Case Report Rotational atherectomy (RA) is a proven technique to modify a heavily calcified coronary lesion if balloon angioplasty failed. RA is frequently avoided in ST-elevation myocardial infarction (STEMI) as it may increase the risk of slow or no-reflow. It is also considered to be relatively contraindicated in lesions with a visible thrombus, by its manufacturer. Regardless, RA may be a life-saving procedure in cases where no other percutaneous coronary intervention (PCI) technique is available to modify the lesion adequately. This case reports successful use of RA to facilitate dilation and stent delivery of a previously non-dilatable lesion in a patient with sub-acute anterior STEMI complicated by cardiogenic shock. Dove 2021-05-11 /pmc/articles/PMC8123955/ /pubmed/34007220 http://dx.doi.org/10.2147/IMCRJ.S295649 Text en © 2021 Islami et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Islami, Zaki Horizon
Bagaswoto, Hendry Purnasidha
Taufiq, Nahar
Setianto, Budi Yuli
Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title_full Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title_fullStr Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title_full_unstemmed Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title_short Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock
title_sort rotational atherectomy in sub-acute anterior stemi with cardiogenic shock
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123955/
https://www.ncbi.nlm.nih.gov/pubmed/34007220
http://dx.doi.org/10.2147/IMCRJ.S295649
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