title: Rotational angioplasty and directional atherectomy to treat complex lesions of the right coronary artery.
abstract: A combination of interventional devices including the Rotablator and directional coronary atherectomy (DCA) was used to treat a 39-year-old patient with a complex lesion of the right coronary artery.  The devices enabled the recanalization and reconstruction of the diseased vessel without laceration or dissection, leaving a smooth-edged segment.  The histological analysis of the tissue obtained from DCA revealed no predictors of restenosis, like highly cellular material or media.  Thus, combination of mechanical interventional devices allowed to treat a highly complex lesion without lacerating the vessel and leaving an excellent acute and long-term outcome.
authors.affiliation: Medical Department I, Klinikum Grosshadern, Ludwig Maximilian University, München, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Gonschior
authors.forename: A
authors.initials: A
authors.lastname: Nerlich
authors.forename: G
authors.initials: G
authors.lastname: Bauriedel
authors.forename: L
authors.initials: L
authors.lastname: Simpson
authors.forename: B
authors.initials: B
authors.lastname: Mack
authors.forename: B
authors.initials: B
authors.lastname: Höfling
mesh_terms: D000328:Adult; D017225:Atherectomy, Coronary / Q000295:instrumentation* / Q000379:methods; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male