Rotational atherectomy of a side branch through the wall of a stent deployed in the left main trunk: A report on three cases

Yoshihisa Ito, Shigenori Ito, Shinsuke Ojio, Mariko Ehara, Hidetoshi Sato, Hiroyuki Tahara, Tatsuya Ito, Yoshiaki Kawase, Tohru Tajika, Yoshiyuki Ishihara, Takahiko Suzuki, Bunnosuke Nagao

Research output: Contribution to journalArticlepeer-review

Abstract

This report describes the treatment by rotational atherectomy of three ostial branch lesions that originated within stented segments of the left main trunk. In case 1, a rotablator was used for a jailed left circumflex coronary artery by NIR stent after inadequate dilatation by Kissing balloon technique. In case 2, a jailed LCx ostial stenosis by Bx Velocity stent and distal chronic total occlusion were treated by rotablator. A Multi-Link Tristar stent strut was ablated by rotablator before treating diffuse stenosis in the left anterior descending coronary artery in case 3. Excellent results were obtained without obvious distal embolism in various settings of stent jail.

Original languageEnglish
Pages (from-to)370-376
Number of pages7
JournalJapanese Journal of Interventional Cardiology
Volume18
Issue number4
StatePublished - 2003
Externally publishedYes

Keywords

  • Atherectomy
  • Left main trunk
  • Stent jail

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