[Coronary artery perforation with rotational coronary atherectomy]
A E Moreira1, S Arie, D P Garcia
1Instituto do Coração do Hospital das Clinicas-FMUSP.
Abstract:
The authors describe a rare case of circumflex coronary artery perforation during rotational coronary atherectomy complicated with cardiac tamponade and good outcome. The possible causes of perforation are discussed and the burr oversize (burr/artery ratio was 0.58) was refused. Shortening and artery plicature (accordeon effect) might have been the cause of this event. Quantitative measurement was made in order to strengthen this hypothesis. It is emphasized the importance of selecting lesions that should be submitted to rotational coronary atherectomy.
More Related Videos
Related Concept Videos
Cardiac Catheterization II: Right Heart Catheterization
Coronary Artery Disease V: Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care


