Recanalization of calcified left anterior descending artery chronic total occlusion with rotational atherectomy via bilateral radial approach

Abstract

A 79-year-old female was admitted to the hospital complaining of frequent chest pain. She was diagnosed with a non-ST segment elevation myocardial infarction. A thallium scan, echocardiogram, and angiography showed a left anterior descending artery chronic total occlusion. Externalization of retrograde wire was performed and replaced with a rota-floppy wire. Rotational atherectomy using a bilateral radial artery approach recanalized the lesion. The patient was discharged uneventfully 7 days post-PCI and remained asymptomatic at follow up 8 months postprocedure.