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dc.contributor.authorMowakeaa, Samer
dc.contributor.authorSnyder, Branden
dc.contributor.authorKakouros, Nikolaos
dc.date2022-08-11T08:09:46.000
dc.date.accessioned2022-08-23T16:43:09Z
dc.date.available2022-08-23T16:43:09Z
dc.date.issued2016-12-01
dc.date.submitted2017-05-17
dc.identifier.citationInterv Med Appl Sci. 2016 Dec;8(4):178-180. doi: 10.1556/1646.8.2016.4.3. <a href="https://doi.org/10.1556/1646.8.2016.4.3">Link to article on publisher's site</a>
dc.identifier.issn2061-1617 (Linking)
dc.identifier.doi10.1556/1646.8.2016.4.3
dc.identifier.pmid28180008
dc.identifier.urihttp://hdl.handle.net/20.500.14038/40234
dc.description.abstractSevere coronary artery calcifications pose an ongoing challenge when performing percutaneous coronary interventions, resulting in an increased likelihood of procedural complications. Orbital atherectomy (OA) has emerged as a promising technology that helps improve outcomes in this complex patient population. Its safety and efficacy are yet to be demonstrated in the setting of acute myocardial infarction. We present a case of a patient with acute ST-elevation myocardial infarction (STEMI) evaluated with emergent transradial coronary angiography. The culprit lesion was a severely stenotic, heavily calcified, segment of the right coronary artery. The use of OA facilitated lesion expansion and implantation of a drug-eluting stent. Although OA should be considered as contraindicated for the management of soft-ruptured plaque, which accounts for the majority of STEMI presentations, it may be well applied to the small subset of patients with calcified nodule pathology, even in the acute setting.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=28180008&dopt=Abstract">Link to Article in PubMed</a>
dc.rightsCopyright © 2016 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited.
dc.subjectST-elevation myocardial infarction
dc.subjectcalcium
dc.subjectcoronary artery calcification
dc.subjectorbital atherectomy
dc.subjectpercutaneous coronary intervention
dc.subjecttransradial angiography
dc.subjectvessel preparation
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.titleUse of orbital atherectomy in acute myocardial infarction via the transradial approach
dc.typeJournal Article
dc.source.journaltitleInterventional medicine and applied science
dc.source.volume8
dc.source.issue4
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=4033&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/3028
dc.identifier.contextkey10176526
refterms.dateFOA2022-08-23T16:43:09Z
html.description.abstract<p>Severe coronary artery calcifications pose an ongoing challenge when performing percutaneous coronary interventions, resulting in an increased likelihood of procedural complications. Orbital atherectomy (OA) has emerged as a promising technology that helps improve outcomes in this complex patient population. Its safety and efficacy are yet to be demonstrated in the setting of acute myocardial infarction. We present a case of a patient with acute ST-elevation myocardial infarction (STEMI) evaluated with emergent transradial coronary angiography. The culprit lesion was a severely stenotic, heavily calcified, segment of the right coronary artery. The use of OA facilitated lesion expansion and implantation of a drug-eluting stent. Although OA should be considered as contraindicated for the management of soft-ruptured plaque, which accounts for the majority of STEMI presentations, it may be well applied to the small subset of patients with calcified nodule pathology, even in the acute setting.</p>
dc.identifier.submissionpathoapubs/3028
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.source.pages178-180


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