15 May 2024
Undilatable calcified lesion with balloon - LIVE case
Calcified lesion treated with rotablator and lithotripsy guided by IVUS - With the collaboration of Euro4C
Operators:
M. Abdel-Wahab, D. Sulimov
Procedural Analyst:
F. Bardooli
Summary
A 66-year-old male with a history of PAD, COPD, diabetes, and an LV function of 44% presented with unstable angina. Coronary angiography revealed a severe and heavily calcified RCA lesion undilatable with a balloon. The patient was referred to a centre specializing in calcified lesion treatment.
Using a right femoral approach and guided by IVUS, the team performed rotablation with three successive burrs (1.5 mm, 1.75 mm, 2.0 mm), followed by IVL, before implanting two stents.
Navigate the video by moving your mouse over the chapter icon in the toolbar
LIVE Educational Case from Heart Centre, Leipzig - Germany
Key moments
- 21:49-45:05 - Rotablator step-by-step
- 46:02-49:34 - IVUS run
- 51:10-01:00:20 - IVL step-by-step
Keywords: Calcified lesion, Rotablator, Liptotripsy, IVUS
Learning Objectives
- To learn possible options for treatment of undilatable calcified coronary lesions
- To demonstrate proper lesion preparation techniques
- To appreciate the integration of intracoronary imaging in a simple and efficient manner
- To learn how to avoid complications while treating heavily calcified lesions
