Intravascular ultrasound-guided drug-coated balloon venoplasty for in-stent restenosis in pulmonary veins stenosis: a case report.
| Autor: | Portero-Portaz JJ; Haemodynamics and Interventional Cardiology Unit, University Hospital of Albacete, C/ Hermanos Falcó, 02006, Albacete, Spain., Córdoba-Soriano JG; Haemodynamics and Interventional Cardiology Unit, University Hospital of Albacete, C/ Hermanos Falcó, 02006, Albacete, Spain., Gallardo-López A; Haemodynamics and Interventional Cardiology Unit, University Hospital of Albacete, C/ Hermanos Falcó, 02006, Albacete, Spain., Jiménez-Mazuecos JM; Haemodynamics and Interventional Cardiology Unit, University Hospital of Albacete, C/ Hermanos Falcó, 02006, Albacete, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | European heart journal. Case reports [Eur Heart J Case Rep] 2021 Nov 06; Vol. 5 (11), pp. ytab384. Date of Electronic Publication: 2021 Nov 06 (Print Publication: 2021). |
| DOI: | 10.1093/ehjcr/ytab384 |
| Abstrakt: | Background: Pulmonary veins stenosis (PVS) after atrial fibrillation radiofrequency ablation is an uncommon complication. When it occurs, percutaneous treatment is the preferred approach. There is a lack of standardized procedures, and when stenting restenosis is relatively common. Case Summary: We present a young patient with recurrence of PVS after first percutaneous treatment. The recurrence of haemoptysis and dyspnoea after treatment in PVS allowed the diagnosis of significant stenosis again in our patient. In the Heart Team, we opted for a new percutaneous treatment, using intravascular ultrasound (IVUS) to optimize the final result. Discussion: Nowadays, percutaneous approach is preferred and among percutaneous treatments for PVS, stenting has shown better results than balloon angioplasty (BA). Despite this, experience in in-stent restenosis is limited, and there is a lack of adequate and specific material for its approach. In this case, we present the possible role of the IVUS and the drug-coated BA in this entity. (© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.) |
| Databáze: | MEDLINE |
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