Successful angioplasty of saphenous venous graft in-stent restenosis using rotational atherectomy
| Autor: | Sugeet Baveja, Udaya Prashant Ponangi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Atherectomy
Coronary medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Balloon Angina Pectoris Angina Coronary Restenosis 03 medical and health sciences 0302 clinical medicine Restenosis Angioplasty medicine.artery medicine Humans 030212 general & internal medicine Angioplasty Balloon Coronary Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Aged 80 and over Interventional cardiology business.industry Angiography Graft Occlusion Vascular Stent Drug-Eluting Stents General Medicine medicine.disease Plaque Atherosclerotic Surgery Treatment Outcome Bypass surgery Right coronary artery Female Stents business |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | An 81-year-old, functionally independent woman with a history of bypass surgery and a previous vein graft intervention presented to us with significant angina refractory to medical management. An urgent angiogram revealed severe in-stent restenosis (ISR) in the proximal stent of the right coronary artery graft. At the same time, multiple trials to predilate the tight ISR using various-sized non-compliant and cutting balloons were unsuccessful. During the second attempt the next day, rotational atherectomy was used for plaque modification as the lesion appeared fibrocalcific angiographically. A good imaging result was obtained after final dilatation with a drug-eluting balloon, and the patient also achieved immediate angina relief. Even though rotational atherectomy is contraindicated in vein graft interventions, it can be successfully used in selected cases when routine angioplasty techniques fail. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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