Complication: Sheared Wire
Figure 23.1 Baseline RCA angiogram Because of the inadequate lesion preparation, a decision was made to proceed with rotablation. The Fielder wire was exchanged for a rota floppy wire and…
Complex Case: Severe Diffuse LAD Disease
Figures 20.1, 20.2, 20.3, and 20.4 Baseline angiograms Left femoral vascular access was obtained using ultrasound imaging guidance. A 6F JL4.0 guide catheter was used. Intervention was performed on the…
Complex Case: Rotational Atherectomy in Preparation for TAVR
Figure 8.1 Baseline angiographic images of RCA (left), arrows showing severe obstructive lesions. Image on the right shows RCA under fluoroscopy without dye, with arrows showing severe calcific disease Figure…
Complication: No Reflow
Figure 21.1 (a, b) show the baseline angiographic appearance of the LAD Figure 21.2 Deployment of DES in LAD after rotational atherectomy and angioplasty. (a) Deployment of 2.75 × 36…
Complex Case: LM and LCX
Figure 11.1 Baseline LCX lesion. A highly calcified lesion is appreciated in the proximal LCX Figure 11.2 A wire was advanced toward the diagonal branch and rotational atherectomy with a…
Basic LCX Case
Figure 3.1 Baseline LCX lesion Figure 3.2 Rotational atherectomy with a 1.5 mm burr was performed on the LCX lesion leading to post atherectomy lumen size gain and allowing stent…
Complex LAD
Figure 7.1 Baseline LAD lesion. A highly calcified lesion is appreciated in the proximal and mid-LAD The mid-LAD was lesion was crossed using a Fielder wire loaded on a Finecross…
Downsizing Burr as a Strategy for Severe Calcific Stenosis
Figure 6.1 (a) Cranial view of left anterior descending artery showing long segment of diffuse disease from proximal to mid vessel. (b) White arrows indicate heavily calcified left anterior descending…
