Abstract
BACKGROUND: A 68-year-old male, with a history of repeat percutaneous intervention for the treatment of severe calcific stenosis of the left circumflex artery and obtuse marginal branch bifurcation, presented with stable angina at a local hospital. He was found to have recurrent in-stent restenosis of this lesion and subsequently underwent a fifth reintervention; however, adequate balloon dilatation was not achievable in spite of non-compliant and cutting balloon use. In view of continuing symptoms despite optimal medical therapy, the patient was transferred to our hospital for further management. INVESTIGATION: Coronary angiography, intravascular ultrasound. DiAGNOSIS: Recurrent in-stent restenosis following prior repeat complex bifurcation stenting. MANAGEMENT: Rotational atherectomy of the multilayered stent struts, followed by successful balloon dilatation with a cutting balloon at high pressure, and treatment with a drug-coated balloon.
Original language | English (US) |
---|---|
Pages (from-to) | 1795-1798 |
Number of pages | 4 |
Journal | EuroIntervention |
Volume | 12 |
Issue number | 14 |
DOIs | |
State | Published - Feb 2017 |
Externally published | Yes |
Keywords
- Bifurcation
- Calcification
- In-stent restenosis
- Rotational atherectomy
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine