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Rotational atherectomy through a coronary artery bypass graft after transcatheter aortic valve implantation: a case report.

Edgar IllescasThomas CuissetJean-Charles SpychajPierre Deharo
Published in: European heart journal. Case reports (2020)
A two-staged procedure of TAVI and PCI with RA of the RCA via RIMA was successfully performed. We decided to perform the PCI after the TAVI to allow a better haemodynamic tolerance of the complex coronary intervention. This procedure needs caution as the conduit is fragile and could be easily damaged during the RA. No data are available about feasibility and safety of RA through a native graft, but this could be a first step to consider it.
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