Cardiovascular Revascularization Medicine
Volume 10, Issue 2 , Pages 136-139, April 2009

Transradial left main stem rotational artherectomy and stenting: case report and literature review

MonashHeart, Monash Medical Centre, Clayton VIC 3168, Australia

Received 22 April 2008; received in revised form 30 June 2008; accepted 22 July 2008.

Abstract 

Percutaneous coronary interventions (PCI) on complex unprotected left main stem (LMS) lesions involving rotational artherectomy are technically challenging and high risk cases. There is limited experience in performing these cases via a radial approach. We report a case of an unstable patient with severe distal LMS disease in whom cardiac surgery, intra-aortic balloon pumping and femoral approach were all contraindicated, who was successfully treated via a radial approach. We also review the technical challenges of LMS PCI through a radial approach.

Keywords: Radial, Percutaneous coronary intervention, Rotational artherectomy, Left main stem

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PII: S1553-8389(08)00249-2

doi:10.1016/j.carrev.2008.07.003

Cardiovascular Revascularization Medicine
Volume 10, Issue 2 , Pages 136-139, April 2009

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