title: Recanalization of calcified left anterior descending artery chronic total occlusion with rotational atherectomy via bilateral radial approach.
abstract: A 79-year-old female was admitted to the hospital complaining of frequent chest pain. She was diagnosed with a non-ST segment elevation myocardial infarction. A thallium scan, echocardiogram, and angiography showed a left anterior descending artery chronic total occlusion. Externalization of retrograde wire was performed and replaced with a rota-floppy wire. Rotational atherectomy using a bilateral radial artery approach recanalized the lesion. The patient was discharged uneventfully 7 days post-PCI and remained asymptomatic at follow up 8 months postprocedure.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.
authors.forename: Hsiu-Yu
authors.initials: HY
authors.lastname: Fang
authors.forename: Chiung-Jen
authors.initials: CJ
authors.lastname: Wu
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D017225:Atherectomy, Coronary / Q000379:methods*; D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017534:Radial Artery; D015641:Radiography, Interventional; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D061205:Vascular Calcification / Q000150:complications / Q000175:diagnosis / Q000628:therapy*