title: Application of rotational atherectomy for a calcified superficial femoral artery lesion.
abstract: A 78-year-old man on dialysis with a history of femoro-popliteal bypass grafting of his right superficial femoral artery was presented with a recurrence of intermittent claudication. Angiography revealed new heavily calcified stenosis located distal to the anastomosis of the graft. A guide wire was crossed the lesion, however, a balloon catheter could not pass. Rotational atherectomy with Rotablator enabled the balloon to cross the lesion with full dilatation. Due to residual stenosis and dissection, a stent was implanted. Final angiogram showed no residual stenosis with TIMI 3 flow. The patient remained free of symptoms during the 1-year follow-up.
authors.affiliation: Department of Cardiology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori, Kishiwada, Osaka, 596-8522, Japan. fukudateam54@gmail.com.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Fukuda
authors.affiliation: Department of Cardiology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori, Kishiwada, Osaka, 596-8522, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yokoi
mesh_terms: D000368:Aged; D000792:Angiography; D017073:Atherectomy / Q000379:methods*; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male
keywords: Calcified lesion; Rotablator; Superficial femoral artery