Rotational atherectomy ablation for an unexpandable stent under the guide of IVUS: A case report.

Abstract:

RATIONALE: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 plaques DIAGNOSES:: 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_name

Medicine (Baltimore)

journal_title

Medicine

authors

Si D,Liu G,Tong Y,He Y

doi

10.1097/MD.0000000000009978

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

e9978

issue

7

eissn

0025-7974

issn

1536-5964

pii

00005792-201802160-00064

journal_volume

97

pub_type

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