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

Yoshio Kobayashi; Paul S. Teirstein; Thomas J. Linnemeier; Gregg W. Stone; Martin B. Leon; Jeffrey W. Moses

doi:10.1002/1522-726X(200102)52:2<208::AID-CCD1049>3.0.CO;2-H

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

Yoshio Kobayashi, Paul S. Teirstein, Thomas J. Linnemeier, Gregg W. Stone, Martin B. Leon, Jeffrey W. Moses

Research output: Contribution to journal › Article › peer-review

71 Scopus citations

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.

Original language	English
Pages (from-to)	208-211
Number of pages	4
Journal	Catheterization and Cardiovascular Interventions
Volume	52
Issue number	2
DOIs	https://doi.org/10.1002/1522-726X(200102)52:2<208::AID-CCD1049>3.0.CO;2-H
State	Published - 2001
Externally published	Yes

Keywords

Angioplasty
Coronary artery disease
Restenosis

Access to Document

10.1002/1522-726X(200102)52:2<208::AID-CCD1049>3.0.CO;2-H

Cite this

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title = "Rotational atherectomy (stentablation)in a lesion with stent underexpansion due to heavily calcified",

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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AU - Kobayashi, Yoshio

AU - Teirstein, Paul S.

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AU - Stone, Gregg W.

AU - Leon, Martin B.

AU - Moses, Jeffrey W.

PY - 2001

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AB - 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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Rotational atherectomy (stentablation)in a lesion with stent underexpansion due to heavily calcified

Abstract

Keywords

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