Stent underexpansion due to heavy coronary calcification resistant to rotational atherectomy: A case for coronary lithoplasty?

Stent underexpansion is frequently observed in calcified coronary lesions and increases the risk of future adverse cardiac events. Current plaquemodification techniques might not be suitable when calcium deposition is circumferential and deep inside the vessel wall. We report a case during which cor...

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Detalles Bibliográficos
Autores principales: Tovar Forero, Maria Natalia, Van Mieghem, Nicolas M., Daemen, Joost
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
CORONARY ARTERY DISEASE
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540327/
https://www.ncbi.nlm.nih.gov/pubmed/31789483
http://dx.doi.org/10.1002/ccd.28641
Descripción
Sumario:Stent underexpansion is frequently observed in calcified coronary lesions and increases the risk of future adverse cardiac events. Current plaquemodification techniques might not be suitable when calcium deposition is circumferential and deep inside the vessel wall. We report a case during which coronary lithoplasty was used as an adjuvant therapy to improve severe stent underexpansion after failed atherectomy and high‐pressure non‐compliant balloon dilatations.

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