Unconventional treatment of aorto-ostial instent restenosis with marked protrusion into the aorta

Journal of Cardiovascular Medicine
Sahin KaplanC Di Mario

Abstract

We report a case of restenosis following ostial stenting of the right coronary artery, with protrusion of the stent into the aorta. Despite multiple attempts, no wire could be advanced coaxially inside the stent. The solution was to pass a wire through the struts of the protruding stent and crush it using progressively larger balloons and, finally, a drug-eluting stent was expanded to high pressure. The highlight of this case report is the final intravascular ultrasound image, revealing the profound deformation of the previous stent to restore a large ostial lumen and regain vessel access.

References

Jun 1, 1987·Journal of the American College of Cardiology·E J TopolS B King
Jun 2, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Stanley J Chetcuti, Mauro Moscucci
Jun 18, 2004·Coronary Artery Disease·Taro TsunodaTetsu Yamaguchi
Jan 13, 2005·JAMA : the Journal of the American Medical Association·Adnan KastratiUNKNOWN ISAR-DESIRE Study Investigators
Mar 3, 2005·JAMA : the Journal of the American Medical Association·Albert Schömig, Adnan Kastrati

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Citations

Jul 19, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G C ChenYun He

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