PMID- 37207108 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230522 IS - 2514-2119 (Electronic) IS - 2514-2119 (Linking) VI - 7 IP - 5 DP - 2023 May TI - Rotational atherectomy for calcified lesions during ST-segment elevation myocardial infarction: a case series and literature review. PG - ytad207 LID - 10.1093/ehjcr/ytad207 [doi] LID - ytad207 AB - BACKGROUND: ST elevation myocardial infarction (STEMI) has traditionally been a relative contraindication for the utilization of rotational atherectomy (RA). However, in severely calcified lesions, RA may be necessary to facilitate stent delivery. CASE SUMMARY: Three patients who present with STEMI are found to have severely calcified lesions on intravascular ultrasound. Equipment was unable to pass the lesions in all three cases. Rotational atherectomy was therefore performed to allow for stent passage. All three cases had achieved successful revascularization with no intraoperative or post-operative complications. The patients remained angina-free the rest of their hospitalization and at the 4 month follow-up. DISCUSSION: Rotational atherectomy for calcific plaque modification during STEMI when equipment will not pass is a feasible and safe therapeutic option. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. FAU - Brown, Kristen N AU - Brown KN AUID- ORCID: 0000-0002-5589-7172 AD - Division of Cardiovascular Diseases, University of Nebraska Medical Center, 4200 Emile St., Omaha, NE 68198, USA. FAU - Jhand, Aravdeep S AU - Jhand AS AD - Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA. FAU - Chatzizisis, Yiannis AU - Chatzizisis Y AD - Division of Cardiovascular Diseases, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Goldsweig, Andrew M AU - Goldsweig AM AD - Division of Cardiovascular Diseases, Baystate Health / UMass Chan Medical School, Springfield, MA, USA. LA - eng PT - Case Reports DEP - 20230509 PL - England TA - Eur Heart J Case Rep JT - European heart journal. Case reports JID - 101730741 PMC - PMC10188616 OTO - NOTNLM OT - Case series OT - Rotational atherectomy OT - ST elevation myocardial infarction COIS- Conflict of interest: None declared. EDAT- 2023/05/19 19:15 MHDA- 2023/05/19 19:16 PMCR- 2023/05/09 CRDT- 2023/05/19 15:51 PHST- 2022/06/15 00:00 [received] PHST- 2022/08/02 00:00 [revised] PHST- 2023/04/21 00:00 [accepted] PHST- 2023/05/19 19:16 [medline] PHST- 2023/05/19 19:15 [pubmed] PHST- 2023/05/19 15:51 [entrez] PHST- 2023/05/09 00:00 [pmc-release] AID - ytad207 [pii] AID - 10.1093/ehjcr/ytad207 [doi] PST - epublish SO - Eur Heart J Case Rep. 2023 May 9;7(5):ytad207. doi: 10.1093/ehjcr/ytad207. eCollection 2023 May.