Abstract

Rotational atherectomy (RA) was introduced in the late 1980s and emerged in the 1990s as an additional tool to aid in recanalization of obstructed coronary vessels. Today, RA use is infrequent due to increased development in management of stable ischemic heart disease. Although, it has been shown to be an effective strategy in acute coronary syndrome (ACS) [1], in the event of a ST-elevation of myocardial infarction (STEMI), the application of RA is contraindicated due to the risk of platelet activation by the Rotablator and has only been described in a few cases [2,3]. Here, we describe a case demonstrating the use of RA to aid in revascularization of the culprit vessel in a patient presenting with STEMI after abrupt occlusion of its vein graft.