Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy
A middle age woman with known ischemic heart disease and old stents in proximal left anterior descending coronary artery (LAD) was admitted to Coronary Care Unit with acute coronary syndrome. The coronary angiography showed one vessel disease with significant restenosis within the previously implant...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/3168067 |
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| author | Michael Koutouzis Maria Agelaki Christos Maniotis Ioannis Tsiafoutis Vasileios Patris Mihalis Argyriou |
| author_facet | Michael Koutouzis Maria Agelaki Christos Maniotis Ioannis Tsiafoutis Vasileios Patris Mihalis Argyriou |
| author_sort | Michael Koutouzis |
| collection | DOAJ |
| description | A middle age woman with known ischemic heart disease and old stents in proximal left anterior descending coronary artery (LAD) was admitted to Coronary Care Unit with acute coronary syndrome. The coronary angiography showed one vessel disease with significant restenosis within the previously implanted stents. The lesion was tough and remained undilatable despite high pressure balloon inflation. Eventually, the balloon ruptured creating a massive dissection of the LAD beginning immediately after the distal part of the undilatable lesion. We proceeded with a challenging ad hoc rotational atherectomy of the lesion and finally stenting of the lesion. In-stent restenosis many years after stent implantation is considered to be mainly due to neoatheromatosis compared to intimal hyperplasia, making lesion treatment more difficult and unpredictable. |
| format | Article |
| id | doaj-art-a971c1b6df43456387ba53e6e0150aa4 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-a971c1b6df43456387ba53e6e0150aa42025-02-03T01:02:36ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/31680673168067Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational AtherectomyMichael Koutouzis0Maria Agelaki1Christos Maniotis2Ioannis Tsiafoutis3Vasileios Patris4Mihalis Argyriou5Cardiology Department, Hellenic Red Cross Hospital of Athens, Athens, GreeceCardiology Department, Hellenic Red Cross Hospital of Athens, Athens, GreeceCardiology Department, Hellenic Red Cross Hospital of Athens, Athens, GreeceCardiology Department, Hellenic Red Cross Hospital of Athens, Athens, GreeceCardiac Surgery Department, Evaggelismos General Hospital, Athens, GreeceCardiac Surgery Department, Evaggelismos General Hospital, Athens, GreeceA middle age woman with known ischemic heart disease and old stents in proximal left anterior descending coronary artery (LAD) was admitted to Coronary Care Unit with acute coronary syndrome. The coronary angiography showed one vessel disease with significant restenosis within the previously implanted stents. The lesion was tough and remained undilatable despite high pressure balloon inflation. Eventually, the balloon ruptured creating a massive dissection of the LAD beginning immediately after the distal part of the undilatable lesion. We proceeded with a challenging ad hoc rotational atherectomy of the lesion and finally stenting of the lesion. In-stent restenosis many years after stent implantation is considered to be mainly due to neoatheromatosis compared to intimal hyperplasia, making lesion treatment more difficult and unpredictable.http://dx.doi.org/10.1155/2017/3168067 |
| spellingShingle | Michael Koutouzis Maria Agelaki Christos Maniotis Ioannis Tsiafoutis Vasileios Patris Mihalis Argyriou Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy Case Reports in Cardiology |
| title | Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy |
| title_full | Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy |
| title_fullStr | Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy |
| title_full_unstemmed | Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy |
| title_short | Undilatable Stent Neoatherosclerosis Treated with Ad Hoc Rotational Atherectomy |
| title_sort | undilatable stent neoatherosclerosis treated with ad hoc rotational atherectomy |
| url | http://dx.doi.org/10.1155/2017/3168067 |
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