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Rotational Atherectomy in a Patient with Acute ST-Elevation Myocardial Infarction and Cardiogenic Shock.

作者信息

Showkathali Refai, Sayer Jeremy W

机构信息

Department of Cardiology, The Essex Cardiothoracic Centre, Essex, United Kingdom.

出版信息

Int J Angiol. 2013 Sep;22(3):203-6. doi: 10.1055/s-0033-1347898.

Abstract

Rotational atherectomy (rotablation) of coronary artery is relatively contraindicated in high thrombotic state such as acute ST-elevation myocardial infarction (STEMI) because of the risk of platelet activation by the rotablator. We present a case where rotablation was necessary to recanalize the right coronary artery in a patient presenting with acute STEMI complicated by cardiogenic shock, after unsuccessful attempts with balloon catheters. He improved remarkably after the procedure and was discharged after 4 days.

摘要

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本文引用的文献

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Comparison of frequency of complications with on-label versus off-label use of rotational atherectomy.
Am J Cardiol. 2012 Aug 15;110(4):498-501. doi: 10.1016/j.amjcard.2012.04.021. Epub 2012 May 12.
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