A case of Kawasaki's disease with extensive calcifications needing rotational atherectomy with a 2.5mm burr

Kastsumasa Sato; Azeem Latib; Charis Costopoulos; Vasileios F. Panoulas; Toru Naganuma; Tadashi Miyazaki; Antonio Colombo

doi:10.1016/j.carrev.2014.01.010

A case of Kawasaki's disease with extensive calcifications needing rotational atherectomy with a 2.5mm burr

Kastsumasa Sato, Azeem Latib, Charis Costopoulos, Vasileios F. Panoulas, Toru Naganuma, Tadashi Miyazaki, Antonio Colombo

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

3 Scopus citations

Abstract

This case report demonstrates a unique strategy requiring a 2.5 mm burr to treat in-stent restenosis of an originally underexpanded stent, implanted in a heavily calcified lesion within a giant aneurysm by Kawasaki disease. Despite our procedural success, it should be emphasized that stent implantation in undilatable lesions should be avoided. When an angiographically calcified lesion within an ectatic segment is observed in a patient with Kawasaki disease, it is recommended that the operator evaluates in detail the severity and location of calcification using intravascular ultrasound imaging and pays meticulous attention to lesion preparation.

Original language	English (US)
Pages (from-to)	248-251
Number of pages	4
Journal	Cardiovascular Revascularization Medicine
Volume	15
Issue number	4
DOIs	https://doi.org/10.1016/j.carrev.2014.01.010
State	Published - Jun 2014
Externally published	Yes

Keywords

Excimer laser coronary atherectomy
In-stent restenosis
Percutaneous coronary intervention
Rotablator

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.carrev.2014.01.010

Cite this

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title = "A case of Kawasaki's disease with extensive calcifications needing rotational atherectomy with a 2.5mm burr",

abstract = "This case report demonstrates a unique strategy requiring a 2.5 mm burr to treat in-stent restenosis of an originally underexpanded stent, implanted in a heavily calcified lesion within a giant aneurysm by Kawasaki disease. Despite our procedural success, it should be emphasized that stent implantation in undilatable lesions should be avoided. When an angiographically calcified lesion within an ectatic segment is observed in a patient with Kawasaki disease, it is recommended that the operator evaluates in detail the severity and location of calcification using intravascular ultrasound imaging and pays meticulous attention to lesion preparation.",

keywords = "Excimer laser coronary atherectomy, In-stent restenosis, Percutaneous coronary intervention, Rotablator",

author = "Kastsumasa Sato and Azeem Latib and Charis Costopoulos and Panoulas, {Vasileios F.} and Toru Naganuma and Tadashi Miyazaki and Antonio Colombo",

year = "2014",

month = jun,

doi = "10.1016/j.carrev.2014.01.010",

language = "English (US)",

volume = "15",

pages = "248--251",

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AU - Sato, Kastsumasa

AU - Latib, Azeem

AU - Costopoulos, Charis

AU - Panoulas, Vasileios F.

AU - Naganuma, Toru

AU - Miyazaki, Tadashi

AU - Colombo, Antonio

PY - 2014/6

Y1 - 2014/6

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AB - This case report demonstrates a unique strategy requiring a 2.5 mm burr to treat in-stent restenosis of an originally underexpanded stent, implanted in a heavily calcified lesion within a giant aneurysm by Kawasaki disease. Despite our procedural success, it should be emphasized that stent implantation in undilatable lesions should be avoided. When an angiographically calcified lesion within an ectatic segment is observed in a patient with Kawasaki disease, it is recommended that the operator evaluates in detail the severity and location of calcification using intravascular ultrasound imaging and pays meticulous attention to lesion preparation.

KW - Excimer laser coronary atherectomy

KW - In-stent restenosis

KW - Percutaneous coronary intervention

KW - Rotablator

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A case of Kawasaki's disease with extensive calcifications needing rotational atherectomy with a 2.5mm burr

Abstract

Keywords

ASJC Scopus subject areas

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