Potent Stent-Less Procedure Using Rotational Atherectomy and Drug-Coated Balloon to Right Coronary Ostial Lesion

Autor: Takahisa Sawada, Nariko Koshi, Masayoshi Kimura, Jun Shiraishi, Yuki Matsubara, Tetsuro Nishimura, Daisuke Ito, Yusuke Nakagawa, Eigo Kishita, Masayuki Hyogo
Rok vydání: 2019
Předmět:
Atherectomy
Coronary
Male
medicine.medical_specialty
medicine.medical_treatment
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Cardiac Catheters
Coronary Restenosis
03 medical and health sciences
0302 clinical medicine
Coated Materials
Biocompatible
Restenosis
medicine.artery
Intravascular ultrasound
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Angioplasty
Balloon
Coronary
Vascular Calcification
Ultrasonography
Interventional
Aged
Aged
80 and over
medicine.diagnostic_test
Unstable angina
business.industry
Percutaneous coronary intervention
Stent
Cardiovascular Agents
Equipment Design
General Medicine
medicine.disease
Ostium
Treatment Outcome
surgical procedures
operative
Right coronary artery
Conventional PCI
Female
Radiology
Cardiology and Cardiovascular Medicine
business
Zdroj: Cardiovascular Revascularization Medicine. 20:822-826
ISSN: 1553-8389
Popis: Background Even in the drug-eluting stent era, ostial lesion of the right coronary artery (RCA) still remains therapeutic challenge for interventional cardiologists. Case Series Case 1 (76 y.o. male) with angina on effort underwent transradial stent-less percutaneous coronary intervention (PCI) using rotational atherectomy (RA) followed by drug-coated balloon (DCB) dilation alone (RA/DCB) against a calcified de novo RCA ostial lesion. Case 2 (86 y.o. female) with recurrent unstable angina and hemodialysis underwent transfemoral RA/DCB against a severe repeat in-stent restenosis probably due to calcified nodule in the RCA ostium. In the both patients, PCI was successfully completed under intravascular ultrasound imaging (IVUS) guidance without complications. Follow-up CAG performed 4–5 months after the procedure revealed no significant lumen narrowing in the both RCA ostial lesions. Conclusions The both cases suggest that stent-less PCI using RA/DCB under IVUS might be an alternative revascularization therapy of choice for calcified RCA ostial lesions.
Databáze: OpenAIRE
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