This 20-minute case concerns an 83-year-old man with stable angina, good LV function, and permanent atrial fibrillation on long-term anticoagulation.
This patient was first treated with a 1.75 millimeter burr on the RCA followed by DES.
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Step-by-Step Procedure
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Description of the challenge of the day
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Placement of the Rotawire
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Rotablation technique and rotablation cocktail
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Rotablation of left main and left descending artery
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Post dilatation and post IVUS evaluation
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LAD and left main stenting, IVUS evaluation
Learning points
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The use of the Rotablator on RCA
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The placement of the Rotablator guidewire using a micro-catheter to exchange GW
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The Rotablation cocktail and the Rotablation technique
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IVUS evaluation after Burr debulking
Bibliography