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

被引：9

作者：

Kobayashi, Y

Teirstein, PS

Linnemeier, TJ

Stone, GW

Leon, MB

Moses, JW

机构：

[1] Lenox Hill Heart & Vasc Inst, New York, NY 10021 USA

[2] Scripps Clin & Res Fdn, Div Cardiovasc Dis, La Jolla, CA 92037 USA

[3] Northside Cardiol PC, Indianapolis, IN USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2001年 / 52卷 / 02期

关键词：

restenosis; angioplasty; coronary artery disease;

D O I：

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

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

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. Cathet Cardiovasc Intervent 2001; 52:208-211. (C) 2001 Wiley-Liss, Inc.

引用

页码：208 / 211

页数：4

共 14 条

[1]

Albrecht D, 1996, CATHETER CARDIO DIAG, V38, P229, DOI 10.1002/(SICI)1097-0304(199607)38:3<229::AID-CCD1>3.3.CO

[2]

2-U

[3]

A RANDOMIZED COMPARISON OF CORONARY-STENT PLACEMENT AND BALLOON ANGIOPLASTY IN THE TREATMENT OF CORONARY-ARTERY DISEASE [J].

FISCHMAN, DL ;

LEON, MB ;

BAIM, DS ;

SCHATZ, RA ;

SAVAGE, MP ;

PENN, I ;

DETRE, K ;

VELTRI, L ;

RICCI, D ;

NOBUYOSHI, M ;

CLEMAN, M ;

HEUSER, R ;

ALMOND, D ;

TEIRSTEIN, PS ;

FISH, RD ;

COLOMBO, A ;

BRINKER, J ;

MOSES, J ;

SHAKNOVICH, A ;

HIRSHFELD, J ;

BAILEY, S ;

ELLIS, S ;

RAKE, R ;

GOLDBERG, S .

NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (08) :496-501

[4]

Treatment of calcified coronary lesions with Palmaz-Schatz stents - An intravascular ultrasound study [J].

Hoffmann, R ;

Mintz, GS ;

Popma, JJ ;

Satler, LF ;

Kent, KM ;

Pichard, AD ;

Leon, MB .

EUROPEAN HEART JOURNAL, 1998, 19 (08) :1224-1231

[5]

Hong MK, 1996, CATHETER CARDIO DIAG, V38, P50

[6]

Stented segment length as an independent predictor of restenosis [J].

Kobayashi, Y ;

De Gregorio, J ;

Kobayashi, N ;

Akiyama, T ;

Reimers, B ;

Finci, L ;

Di Mario, C ;

Colombo, A .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 34 (03) :651-659

[7]

Influence of a platelet GPIIb IIIa receptor antagonist on myocardial hypoperfusion during rotational atherectomy as assessed by myocardial Tc-99m sestamibi scintigraphy [J].

Koch, KC ;

vom Dahl, J ;

Kleinhans, E ;

Klues, HG ;

Radke, PW ;

Ninnemann, S ;

Schulz, G ;

Buell, U ;

Hanrath, P .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (04) :998-1004

[8]

Treatment of in-stent restenosis with excimer laser coronary angioplasty versus rotational atherectomy - Comparative mechanisms and results [J].

Mehran, R ;

Dangas, G ;

Mintz, GS ;

Waksman, R ;

Abizaid, A ;

Satler, LF ;

Pichard, AD ;

Kent, KM ;

Lansky, AJ ;

Stone, GW ;

Leon, MB .

CIRCULATION, 2000, 101 (21) :2484-2489

[9]

MECHANISMS OF LUMEN ENLARGEMENT AFTER EXCIMER-LASER CORONARY ANGIOPLASTY - AN INTRAVASCULAR ULTRASOUND STUDY [J].

MINTZ, GS ;

KOVACH, JA ;

JAVIER, SP ;

PICHARD, AD ;

KENT, KM ;

POPMA, JJ ;

SALTER, LF ;

LEON, MB .

CIRCULATION, 1995, 92 (12) :3408-3414

[10]

Intravascular ultrasound to discern device-specific effects and mechanisms of restenosis [J].

Mintz, GS ;

Popma, JJ ;

Hong, MK ;

Pichard, AD ;

Kent, KM ;

Satler, LF ;

Leon, MB .

AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 :18-22

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