Literature DB >> 11170330

Rotational atherectomy (stentablation) in a lesion with stent underexpansion due to heavily calcified plaque.

Y Kobayashi1, P Teirstein, T Linnemeier, G Stone, M Leon, J Moses.   

Abstract

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.

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Mesh:

Year:  2001        PMID: 11170330     DOI: 10.1002/1522-726x(200102)52:2<208::aid-ccd1049>3.0.co;2-h

Source DB:  PubMed          Journal:  Catheter Cardiovasc Interv        ISSN: 1522-1946            Impact factor:   2.692


  13 in total

1.  Stent thrombosis: current management and outcomes.

Authors:  Per Sommer; Ehrin J Armstrong
Journal:  Curr Treat Options Cardiovasc Med       Date:  2015-03

2.  Successful expansion of an underexpanded stent by rotational atherectomy.

Authors:  Lori Vales; John Coppola; Tak Kwan
Journal:  Int J Angiol       Date:  2013-03

3.  Patient Selection and Procedural Considerations for Coronary Orbital Atherectomy System.

Authors:  Yohei Sotomi; Richard A Shlofmitz; Antonio Colombo; Patrick W Serruys; Yoshinobu Onuma
Journal:  Interv Cardiol       Date:  2016-05

4.  Intravascular ultrasound-guided shockwave treatment of stents overlapping underexpansion of calcified left anterior descending artery.

Authors:  Cesare Tripolino; Eliezer J Tassone; Gaetano Morabito; Placido Grillo; Silvia Curcio; Bindo Missiroli
Journal:  J Cardiol Cases       Date:  2019-08-01

5.  Prevalence, Presentation and Treatment of 'Balloon Undilatable' Chronic Total Occlusions: Insights from a Multicenter US Registry.

Authors:  Peter Tajti; Dimitri Karmpaliotis; Khaldoon Alaswad; Catalin Toma; James W Choi; Farouc A Jaffer; Anthony H Doing; Mitul Patel; Ehtisham Mahmud; Barry Uretsky; Aris Karatasakis; Judit Karacsonyi; Barbara A Danek; Bavana V Rangan; Subhash Banerjee; Imre Ungi; Emmanouil S Brilakis
Journal:  Catheter Cardiovasc Interv       Date:  2018-01-23       Impact factor: 2.692

6.  A different way of coronary lesion preparation: stentablation and rotastenting.

Authors:  Ibrahim Akin; Steffen Pohlmann; Christoph A Nienaber; Hüseyin Ince
Journal:  Clin Med Insights Cardiol       Date:  2012-02-20

7.  Optical coherence tomography findings after longitudinal ablation for an underexpanded stent in a heavily calcified lesion: a case report.

Authors:  Masahiro Koide; Keiji Inoue; Akiko Matsuo; Hiroshi Fujita
Journal:  BMC Cardiovasc Disord       Date:  2016-11-29       Impact factor: 2.298

8.  In-Stent Restenosis due to Stent Recoil After Third-Generation Drug-Eluting Stent Implantation.

Authors:  Yuta Kato; Atsushi Iwata; Masayuki Nakamura; Shin-Ichiro Miura; Keijiro Saku
Journal:  J Clin Med Res       Date:  2017-04-26

Review 9.  Current Management of In-Stent Restenosis.

Authors:  Ae Young Her; Eun Seok Shin
Journal:  Korean Circ J       Date:  2018-05       Impact factor: 3.243

10.  IVUS-guided rotational atherectomy for unexpandable paclitaxel-eluting stent: A case report and review of literature.

Authors:  Po-Ming Ku; Tsuei-Yuen Huang; Zhih-Cherng Chen; Max Woo; Jui-Sung Hung
Journal:  J Geriatr Cardiol       Date:  2013-09       Impact factor: 3.327

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