The value of percutaneous rotational atherectomy in the treatment heart of coronary heart disease: A case report KORONER KALB HASTALIGININ TEDAVISINDE 'PERKUTAN ROTASYONEL ATEREKTOMI' NIN YERI: BIR VAKA TAKDIMI


Adalet K., Meric M., Buyukozuturk K., Ertem G.

Istanbul Tip Fakultesi Mecmuasi, vol.57, no.4, pp.64-70, 1994 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 57 Issue: 4
  • Publication Date: 1994
  • Journal Name: Istanbul Tip Fakultesi Mecmuasi
  • Journal Indexes: Scopus
  • Page Numbers: pp.64-70
  • Istanbul University Affiliated: Yes

Abstract

Despite technical advances in balloon catheter and guidewire systems, and greater experience, the success rate of percutaneous transluminal coronary angioplasty (PTCA) continues to be limited by abrupt closure 3-5% of cases, and chronic restenosis which occurs in 25-40% of patients. The new technologies (atherectomy, stents, and laser techniques) have recently entered clinical testing with the goal of providing a practical and predictable solution to these difficulties. A 35-year-old man was admitted to our clinic due to postinfarction angina pectoris. The coronary arteriography revealed total occlusion in the proximal left anterior descending artery. The percutaneous coronary rotational angioplasty was successfully performed with reduction of the target stenosis to a residual 60 percent narrowing. The residue narrowing was decreased to 5% using PTCA. The treadmill test was negative after 15 days, and the patient remained asymptomatic for 2 months follow up. The percutaneous rotational atherectomy is a new method in the treatment of coronary artery disease, and we could not find any publication about it in Turkey, so we decided to report of this case.