Rotational atherectomy ablation for an unexpandable stent under the guide of IVUS

Rotational atherectomy ablation for an unexpandable stent under the guide of IVUS AbstractRationale:Inadequate stent expansion due to rigid calcified may result in restenosis lesions, but the available options are limited.Patient concerns:We report a case via the trans-radial approach of the severely underexpanded freshly deployed stent due to heavily calcified plaquesDiagnoses:Coronary angiography revealed that there was no adequate expansion of the freshly deployed stent.Interventions:Under the guide of intravascular ultrasound (IVUS), rotational atherectomy (RA) successfully ablated the stent layers and the protruding calcified plaque. Followed by balloon angioplasty, the ablated segment was scaffolded with another stent, well expanded and documented by IVUS.Outcomes:The patient was uneventful during the procedure and remained angina free at the point of one year of clinical follow-up.Lessons:This case indicated that RA via the trans-radial approach could be a useful remedy in the situation of under-expansion of implanted stents, and the debulking should be performed under IVUS-guidance. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medicine Wolters Kluwer Health

Rotational atherectomy ablation for an unexpandable stent under the guide of IVUS

Loading next page...
 
/lp/wolters_kluwer/rotational-atherectomy-ablation-for-an-unexpandable-stent-under-the-HZbwR7PNAn
Publisher
Wolters Kluwer Health
Copyright
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
ISSN
0025-7974
eISSN
1536-5964
D.O.I.
10.1097/MD.0000000000009978
Publisher site
See Article on Publisher Site

Abstract

AbstractRationale:Inadequate stent expansion due to rigid calcified may result in restenosis lesions, but the available options are limited.Patient concerns:We report a case via the trans-radial approach of the severely underexpanded freshly deployed stent due to heavily calcified plaquesDiagnoses:Coronary angiography revealed that there was no adequate expansion of the freshly deployed stent.Interventions:Under the guide of intravascular ultrasound (IVUS), rotational atherectomy (RA) successfully ablated the stent layers and the protruding calcified plaque. Followed by balloon angioplasty, the ablated segment was scaffolded with another stent, well expanded and documented by IVUS.Outcomes:The patient was uneventful during the procedure and remained angina free at the point of one year of clinical follow-up.Lessons:This case indicated that RA via the trans-radial approach could be a useful remedy in the situation of under-expansion of implanted stents, and the debulking should be performed under IVUS-guidance.

Journal

MedicineWolters Kluwer Health

Published: Feb 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off