Rotational atherectomy (stentablation) in a lesion with stent underexpansion due to heavily calcified plaque
| Autor: | Martin B. Leon, Yoshio Kobayashi, Paul S. Teirstein, Gregg W. Stone, Thomas J. Linnemeier, Jeffrey W. Moses |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Stent General Medicine equipment and supplies medicine.disease Balloon Coronary artery disease Lesion surgical procedures operative Restenosis Angioplasty Intravascular ultrasound Coronary stent medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 52:208-211 |
| ISSN: | 1522-726X 1522-1946 |
| DOI: | 10.1002/1522-726x(200102)52:2<208::aid-ccd1049>3.0.co;2-h |
| Popis: | We report treatment of a lesion with coronary stent underexpansion due to heavily calcified plaque. Conventional balloon angioplasty was attempted for in-stent restenosis, but the lesion was undilatable despite 25-atm inflation pressure. Intravascular ultrasound (IVUS) revealed stent underexpansion due to heavily calcified plaque. Rotational atherectomy was performed using a stepped burr approach, after which repeat IVUS revealed marked ablation of the stent-calcium complex. Adjunctive balloon angioplasty then easily resulted in full balloon and stent expansion, with an excellent angiographic and IVUS result. The patient's hospital course was uneventful. |
| Databáze: | OpenAIRE |
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