Rotablator® induced “shave” of intraluminal cap exposing intramural plaque crater

Moises Bucay, Nadim M. Zacca, Anatole D. Trakhtenbroit, Panayiotis J. Asimacopoulos, Herbert Master, Albert E. Raizner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A patient with recent onset of unstable angina was found to have a severe, eccentric stenosis of the proximal left anterior descending coronary artery. Rotational atherectomy was performed. After the first passage of the burr across the stenosis, an intraplaque crater was angiographically visualized. It is hypothesized that the patient's clinical presentation may be attributed to plaque rupture and formation of an intraplaque crater which was sealed by a fibrous cap. This cap was “shaved” by the rotating burr, exposing the crater. Adjunctive balloon dilatation expanded the true lumen and compressed the crater.

Original languageEnglish (US)
Pages (from-to)209-212
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume25
Issue number3
DOIs
StatePublished - Mar 1992
Externally publishedYes

Keywords

  • atherosclerosis
  • rotational atherectomy
  • ruptured plaque
  • unstable angina

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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