Experience with rotational atherectomy for calcified lesions of the right coronary artery
G. A. Chuvarayan,
K. I. Maslinkov,
A. V Staferov,
A. V. Babaev,
T. V. Pinchuk,
S. E. Arakelov,
I. Yu. Titova https://doi.org/10.33667/207856312025175156
Abstract
This article presents a clinical case of successful stenting of the right coronary artery using rotational atherectomy and intravascular ultrasound in a patient with severe calcified coronary artery disease and severe clinical symptoms of angina.
An attempt at traditional percutaneous treatment at another clinic was unsuccessful, and the patient underwent endovascular rotational atherectomy followed by stenting of the affected segments of the coronary arteries. The implemented treatment tactics demonstrated its effectiveness and safety; the patient was discharged from the hospital in a stable condition, without symptoms of angina.
About the Authors
G. A. Chuvarayan
Moscow City State Hospital named after V.P. Demikhov; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Chuvarayan Grigoriy A., PhD Med, associate professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood; head of Dept. of Endovascular Surgery
Moscow
K. I. Maslinkov
Moscow City State Hospital named after V.P. Demikhov
Russian Federation
Russian Federation
Maslinkov Klim I., endovascular surgeon
Moscow
A. V Staferov
Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Staferov Anton V., PhD Med, head of Dept. of Endovascular Surgery
Moscow
A. V. Babaev
Moscow City State Hospital named after V.P. Demikhov; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Babaev Andrey V., assistant at Dept of Faculty Therapy of Institute of Motherhood and Childhood; head of Cardiology Dept No 21
Moscow
T. V. Pinchuk
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Pinchuk Tatyana V., PhD Med, associate professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
S. E. Arakelov
Moscow City State Hospital named after V.P. Demikhov; Peoples’ Friendship University of Russia named after Patrice Lumumba
Russian Federation
Russian Federation
Arakelov Sergey E., professor, chief physician, head of Dept. of Palliative care; head physician
Moscow
I. Yu. Titova
Moscow City State Hospital named after V.P. Demikhov
Russian Federation
Russian Federation
Titova Irina Yu., deputy chief physician for Medical Affairs
Moscow
References
1. Madhavan M. V., Tarigopula M., Mintz G. S., Maehara A., Stone G. W., Généreux P. Coronary Artery Calcification: Pathogenesis and Prognostic Implications. J. Am. Coll. Cardiol. 2014; 63: 1703–1714. DOI: 10.1016/j.jacc.2014.01.017
2. Kumar P., Bhatia M. Coronary Artery Calcium Data and Reporting System (CAC-DRS): A Primer. J. Cardiovasc. Imaging. 2023; 31: 1–17. DOI: 10.4250/jcvi.2022.0029
3. Zimoch W.J., Kubler P., Kosowski M., Tomasiewicz B., Krzysztofik J., Langner A., Jankowska E.A., Reczuch K. Patients with Acute Myocardial Infarction and Severe Target Lesion Calcifications Undergoing Percutaneous Coronary Intervention Have Poor Long-Term Prognosis. Kardiol. Pol. 2017; 75: 859–867. DOI: 10.5603/KP.a2017.0093
4. Ralapanawa U., Sivakanesan R. Epidemiology and the Magnitude of Coronary Artery Disease and Acute Coronary Syndrome: A Narrative Review. J. Epidemiol. Glob. Health. 2021; 11: 169. DOI: 10.2991/jegh.k.201217.001
5. Nakahara T., Dweck M.R., Narula N., Pisapia D., Narula J., Strauss H.W. Coronary Artery Calcification: From Mechanism to Molecular Imaging. JACC Cardiovasc. Imaging. 2017; 10: 582–593. DOI: 10.1016/j.jcmg.2017.03.005
6. Mori H., Torii S., Kutyna M., Sakamoto A., Finn A.V., Virmani R. Coronary Artery Calcification and Its Progression. JACC Cardiovasc. Imaging. 2018; 11: 127–142. DOI: 10.1016/j.jcmg.2017.10.012
7. Bass T.A. High-Risk Percutaneous Coronary Interventions in Modern Day Clinical Practice. Circ. Cardiovasc. Interv. 2015; 8: e003405. DOI: 10.1161/CIRCINTERVENTIONS.115.003405
8. Sharma S.K., Tomey M.I., Teirstein P.S., Kini A.S., Reitman A.B., Lee A.C., Généreux P., Chambers J.W., Grines C.L., Himmelstein S.I. et al. North American Expert Review of Rotational Atherectomy. Circ. Cardiovasc. Interv. 2019; 12: e007448
9. Ritchie JL, Hansen DD, Intlekofer MJ, Hall M, Auth DC. Rotational approaches to atherectomy and thrombectomy. Z Kardiol. 1987;76(Suppl 6):59–65. [PubMed] [Google Scholar]
10. Fourrier JL, Bertrand ME, Auth DC, Lablanche JM, Gommeaux A, Brunetaud JM. Percutaneous coronary rotational angioplasty in humans: preliminary report. J. Am. Coll. Cardiol. 1989; 14 (5): 1278–1282. DOI: 10.1016/0735–1097(89)90428 2 [DOI] [PubMed] [Google Scholar]
11. Abdel-Wahab M, Richardt G, Joachim Buttner H, Toelg R, Geist V, Meinertz T, Schofer J, King L, Neumann FJ, Khattab AA. High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: the randomized ROTAXUS (rotational atherectomy prior to taxus stent treatment for complex native coronary artery disease) trial. JACC Cardiovasc Interv. 2013; 6 (1): 10–19. DOI: 10.1016/j.jcin.2012.07.017 [DOI] [PubMed] [Google Scholar]
12. Abdel-Wahab M, Toelg R, Byrne RA, Geist V, El-Mawardy M, Allali A, Rheude T, Robinson DR, Abdelghani M, Sulimov DS, Kastrati A, Richardt G. High-speed rotational atherectomy versus modified balloons prior to drug-eluting stent implantation in severely calcified coronary lesions. Circ Cardiovasc Interv. 2018; 11 (10): e007415. DOI: 10.1161/CIRCINTERVENTIONS.118.007415 [DOI] [PubMed] [Google Scholar].
13. Barbato E, Shlofmitz E, Milkas A, Shlofmitz R, Azzalini L, Colombo A. State of the art: evolving concepts in the treatment of heavily calcified and undilatable coronary stenoses – from debulking to plaque modification, a 40-year-long journey. EuroIntervention. 2017; 13 (6): 696–705. DOI: 10.4244/EIJ-D 17-00473.
Review
For citations:
Chuvarayan G.A., Maslinkov K.I., Staferov A.V., Babaev A.V., Pinchuk T.V., Arakelov S.E., Titova I.Yu. Experience with rotational atherectomy for calcified lesions of the right coronary artery. Medical alphabet. 2025;(17):51-56. (In Russ.) https://doi.org/10.33667/207856312025175156
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