Treatment of calcific coronary stenosis with the use of excimer laser coronary atherectomy and rotational atherectomy

Abstract

Rotational atherectomy is the technique of choice for severe coronary artery calcification to facilitate adequate stent deployment. However, rotational atherectomy use is dependent on the delivery of a dedicated guide wire, which is not always achievable. We describe a series of five patients with severely calcified coronary lesions that were successfully treated with the combination of excimer laser and rotational atherectomy when it was not possible to deliver a RotaWire™ and use rotational atherectomy alone.