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Showkathali R, Davies JR. Transradial rotablation in a patient with dextrocardia and acute ST-elevation myocardial infarction. Interv Med Appl Sci. 2012;4(4):221-3doi: 10.1556/IMAS.4.2012.4.8.
Showkathali, R., & Davies, J. R. (2012). Transradial rotablation in a patient with dextrocardia and acute ST-elevation myocardial infarction. Interventional medicine & applied science, 4(4), 221-3. https://doi.org/10.1556/IMAS.4.2012.4.8
Showkathali, Refai, and Davies, John R. "Transradial rotablation in a patient with dextrocardia and acute ST-elevation myocardial infarction." Interventional medicine & applied science vol. 4,4 (2012): 221-3. doi: https://doi.org/10.1556/IMAS.4.2012.4.8
Showkathali R, Davies JR. Transradial rotablation in a patient with dextrocardia and acute ST-elevation myocardial infarction. Interv Med Appl Sci. 2012 Dec;4(4):221-3. doi: 10.1556/IMAS.4.2012.4.8. Epub 2012 Dec 27. PMID: 24265880; PMCID: PMC3831789.
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Interv Med Appl Sci. 2012 Dec;4(4):221-3. doi: 10.1556/IMAS.4.2012.4.8. Epub 2012 Dec 27.

Transradial rotablation in a patient with dextrocardia and acute ST-elevation myocardial infarction.

Interventional medicine & applied science

Refai Showkathali, John R Davies

Affiliations

  1. Department of Cardiology, The Essex Cardiothoracic Centre Essex UK.

PMID: 24265880 PMCID: PMC3831789 DOI: 10.1556/IMAS.4.2012.4.8

Abstract

An 82-year-old gentleman with situs inversus and dextrocardia was admitted to our unit following thrombolysis for inferior ST-elevation myocardial infarction (STEMI). Due to ongoing ischemic symptoms, he underwent emergency transradial coronary angiography. His culprit right coronary artery (RCA) was heavily calcified with severe stenosis in the mid and distal segments. Therefore, rotational atherectomy was performed for debulking, and four drug eluting stents were deployed in the RCA. To the best of our knowledge, this is the first reported case of successful transradial rotablation percutaneous coronary intervention in acute STEMI in a patient with dextrocardia. We also did not use temporary pacemaker wire insertion (TPW) because of the risk of right ventricular perforation (RV) in inferior STEMI with RV involvement.

Keywords: PCI; STEMI; debulking; dextrocardia; percutaneous coronary intervention; rotablation; rotational atherectomy; situs inversus; temporary pacemaker wire; transradial

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