Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned
We present a case of a 67-year-old man with stage III chronic kidney disease, uncontrolled diabetes mellitus, coronary artery disease, and high surgical risk who presented with two episodes of acute coronary syndrome attributed to in-stent restenosis (ISR) associated with heavily calcified lesions....
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/5047981 |
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| author | K. Shaikh S. Kelly M. Gedela V. Kumar A. Stys T. Stys |
| author_facet | K. Shaikh S. Kelly M. Gedela V. Kumar A. Stys T. Stys |
| author_sort | K. Shaikh |
| collection | DOAJ |
| description | We present a case of a 67-year-old man with stage III chronic kidney disease, uncontrolled diabetes mellitus, coronary artery disease, and high surgical risk who presented with two episodes of acute coronary syndrome attributed to in-stent restenosis (ISR) associated with heavily calcified lesions. In this case, we were able to improve luminal patency with orbital atherectomy system (OAS); however, withdrawal of the device resulted in a device/stent interaction, causing failure of the device. Given limitations in current evidence and therapies, managing ISR can be a technical and cognitive challenge. Balloon expansion of the affected region often provides unsatisfactory results, possibly related to significant calcium burden. OAS could be an efficacious way of reestablishing luminal patency in ISR lesions, as these lesions are often heavily calcified. |
| format | Article |
| id | doaj-art-0a2217d820444abe898569aa5d4df14b |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-0a2217d820444abe898569aa5d4df14b2025-02-03T01:01:38ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/50479815047981Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons LearnedK. Shaikh0S. Kelly1M. Gedela2V. Kumar3A. Stys4T. Stys5USD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAUSD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAUSD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAUSD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAUSD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAUSD Department of Medicine, Division of Cardiology, Sioux Falls, SD, USAWe present a case of a 67-year-old man with stage III chronic kidney disease, uncontrolled diabetes mellitus, coronary artery disease, and high surgical risk who presented with two episodes of acute coronary syndrome attributed to in-stent restenosis (ISR) associated with heavily calcified lesions. In this case, we were able to improve luminal patency with orbital atherectomy system (OAS); however, withdrawal of the device resulted in a device/stent interaction, causing failure of the device. Given limitations in current evidence and therapies, managing ISR can be a technical and cognitive challenge. Balloon expansion of the affected region often provides unsatisfactory results, possibly related to significant calcium burden. OAS could be an efficacious way of reestablishing luminal patency in ISR lesions, as these lesions are often heavily calcified.http://dx.doi.org/10.1155/2016/5047981 |
| spellingShingle | K. Shaikh S. Kelly M. Gedela V. Kumar A. Stys T. Stys Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned Case Reports in Cardiology |
| title | Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned |
| title_full | Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned |
| title_fullStr | Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned |
| title_full_unstemmed | Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned |
| title_short | Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned |
| title_sort | novel use of an orbital atherectomy device for in stent restenosis lessons learned |
| url | http://dx.doi.org/10.1155/2016/5047981 |
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