Rotational atherectomy for the treatment of isolated femoral artery traumatic lesion: a case report. G. Esposito, L. Di Serafino, G. Gargiulo, A. Sannino, G.G. Schiattarella, A. Franzone, C. Perrino, M. Chiariello. We describe the case of a 50-year-old man with an isolated plaque of the left distal superficial femoral artery (SFA), probably not related to atherosclerosis, but rather to a traumatic event. He was admitted to our hospital because of intermittent claudication. The critical distal SFA stenosis was documented by angiography and the lesion was treated by rotational atherectomy without stent implantation. At 1-year follow up, Doppler Ultrasound scan demonstrated a normal flow pattern of the left SFA and downstream districts in the absence of any complication. Therefore, rotational atherectomy is a safe and effective technique particularly in cases of peripheral arterial disease wherein stent implantation is dangerous.