Rotational Atherectomy in a Patient with Acute ST-Elevation Myocardial Infarction and Cardiogenic Shock.
Rotational atherectomy (rotablation) of coronary artery is relatively contraindicated in high thrombotic state such as acute ST-elevation myocardial infarction (STEMI) because of the risk of platelet activation by the rotablator. We present a case where rotablation was necessary to recanalize the right coronary artery in a patient presenting with acute STEMI complicated by cardiogenic shock, after unsuccessful attempts with balloon catheters. He improved remarkably after the procedure and was discharged after 4 days.
Department of Cardiology, The Essex Cardiothoracic Centre, Essex, United Kingdom.
Refai
R
Showkathali
Department of Cardiology, The Essex Cardiothoracic Centre, Essex, United Kingdom.
Jeremy W
JW
Sayer
MI; PCI; angioplasty; atherectomy; myocardial infarction; reperfusion; stent