title: Provisional T stenting following alternating rotational atherectomy for severely calcified left main stenosis in a very old male.
abstract: An 88-year-old male was referred to our medical center for the treatment of severe angina pectoris. Coronary angiography revealed severely calcified tight stenosis in the left main (LM), the left circumflex (LCX) ostium, and the proximal portion of the left anterior descending (LAD) artery (Medina 1, 1, 1). We performed T-stenting with two everolimus-eluting stents. Prior to T-stenting, we performed alternating rotational atherectomy (RA) of the vessel segments from the LM to LCX and from the LM to LAD. The effectiveness of alternating RA was confirmed by a "pendulous calcification" at the carina of the LM bifurcation.
authors.affiliation: Division of Cardiovascular Medicine, Department of Integrated Medicine I, Jichi Medical University Saitama Medical Center, Amanuma 1-847, Omiya, Saitama, 330-8503, Japan, ZXH03005@nifty.ne.jp.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sakakura
authors.forename: Norifumi
authors.initials: N
authors.lastname: Kubo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Wada
authors.forename: Nahoko
authors.initials: N
authors.lastname: Ikeda
authors.forename: Junya
authors.initials: J
authors.lastname: Ako
authors.forename: Shin-Ichi
authors.initials: S
authors.lastname: Momomura