MANAGEMENT OF BALLOON UNCROSSABLE CALCIFIED LAD CTO USING ROTATIONAL ATHERECTOMY—A CASE REPORT
Researchers & Contributors
Dr. Abhinav Aggarwal
MBBS MD DM (Cardiology)
Assistant Professor
Department of Cardiology
Vardhman Mahavir Medical College and Safdarjung Hospital
New Delhi, India
Dr. Puneet Gupta
MBBS MD DM (Cardiology)
Associate Professor
Department of Cardiology
Vardhman Mahavir Medical College and Safdarjung Hospital
New Delhi, India
Dr. Hermohander Singh Isser
MBBS MD DM (Cardiology)
Head and Professor
Department of Cardiology
Vardhman Mahavir Medical College and Safdarjung Hospital
New Delhi, India
Case Videos
Video 1
The LAD CTO was successfully crossed using a Gaia Next 1 guidewire, supported by a Corsair microcatheter. Wire position was confirmed with RCA injection.
Video 2
Even a 1 × 6 mm semi-compliant balloon failed to cross the lesion, confirming a balloon-uncrossable calcified CTO
Video 3
Rotational atherectomy was performed using a 1.25 mm burr at 180,000 rpm