Conquering a Rocky Mountain: A Case Report

REPORTright femoral arterial access.The left main was hooked with a 7F XB-3 guiding catheter, and the lesion was crossed with a workhorse percutaneous transluminal coronary angioplasty (PTCA) guidewire.Intravascular ultrasound (IVUS) was done, which showed heavily calcified osteoproximal to mid LAD with napkin-ring calcium for >5 mm length (calcium score 3/4), with unhealthy landing zone at ostial LAD.In view of the long deep calcific lesion, RotaTripsy was planned.With the help of microcatheter, workhorse PTCA wire was exchanged with Rota floppy wire.Then RA was done with 1.5 mm followed by 1.75 mm Rotalink burr (Boston Scientific) at around 1,60,000-1,80,000 RPM.Subsequently, IVUS was done with

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Publication Details

Published
2025-10-25
DOI
https://doi.org/10.5005/mhj-11054-0002
Primary Topic
Medical Case Reports and Studies
Type
article
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article

Conquering a Rocky Mountain: A Case Report

Devendra Borgaonkar, Pravir Lathi, Rohit Walse, Vilas Magarkar
Medical Case Reports and Studies
article

Conquering a Rocky Mountain: A Case Report

Devendra Borgaonkar, Pravir Lathi, Rohit Walse, Vilas Magarkar
article en

Abstract

REPORTright femoral arterial access.The left main was hooked with a 7F XB-3 guiding catheter, and the lesion was crossed with a workhorse percutaneous transluminal coronary angioplasty (PTCA) guidewire.Intravascular ultrasound (IVUS) was done, which showed heavily calcified osteoproximal to mid LAD with napkin-ring calcium for >5 mm length (calcium score 3/4), with unhealthy landing zone at ostial LAD.In view of the long deep calcific lesion, RotaTripsy was planned.With the help of microcatheter, workhorse PTCA wire was exchanged with Rota floppy wire.Then RA was done with 1.5 mm followed by 1.75 mm Rotalink burr (Boston Scientific) at around 1,60,000-1,80,000 RPM.Subsequently, IVUS was done with

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Conquering a Rocky Mountain: A Case Report — Devendra Borgaonkar, Pravir Lathi, et al. · (2025) | TGRS Research Map | TGRS