Intracoronary lithotripsy for calcific neoatherosclerotic in-stent restenosis
In-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. A 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevation myocardial infarcti...
| Authors: | , , , |
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| Format: | report |
| Publication Date: | 2020 |
| Country: | España |
| Institution: | Universitat Autònoma de Barcelona |
| Repository: | Dipòsit Digital de Documents de la UAB |
| Language: | English |
| OAI Identifier: | oai:ddd.uab.cat:232580 |
| Online Access: | https://ddd.uab.cat/record/232580 https://dx.doi.org/urn:doi:10.1093/ehjcr/ytaa117 |
| Access Level: | Open access |
| Keyword: | Restenosis Plaque modification Intracoronary lithotripsy Drug-eluting stent Case report |
| Summary: | In-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. A 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevation myocardial infarction. In-stent restenosis due to calcific neoatherosclerosis was observed by intracoronary imaging during the intervention. Intravascular lithotripsy was used successfully to fracture the underlying calcific plaque. However, the balloon ruptured during treatment although this did not damage the artery. Intravascular lithotripsy is a promising tool for the treatment of extremely calcified lesions including calcific neoatherosclerosis of in-stent restenosis. Balloon rupture is a complication of this new percutaneous treatment that has not previously been described. |
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