Case Report
Volume: 4 | Issue: 12 | Published: Dec 16, 2020 | Pages: 441 - 444 | DOI: 10.24911/ejmcr/173-1593949307
A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis
Authors: Omer Goktekin , Ismail Dogu kilic , Ahmet Karagoz
Article Info
Authors
Omer Goktekin
Department of Cardiology, Memorial Hospital, Istanbul, Turkey
Ismail Dogu kilic
Department of Cardiology, Pamukkale University, Denizli, Turkey
Ahmet Karagoz
Department of Cardiology, Giresun University, Giresun, Turkey
Publication History
Received: July 05, 2020
Revised: August 09, 2020
Accepted: September 14, 2020
Published: December 16, 2020
Abstract
Background: Rotablation is used in heavily calcified lesions when balloon angioplasty fails to expand the lesion before stenting. Case Presentation: A 68-year-old male patient was admitted with angina 9 months after implantation of a 3.5 × 23 mm drugeluting stent in the crux of right coronary artery. Intravascular ultrasound revealed that the strut-to-strut diameter of the stent in the underexpanded region was 1.6 mm. High-pressure balloon inflation up to 26 atm was performed many times and the procedure was again completed with 3.0 and 3.5 mm kissing balloon inflation at 22 atm. After 4 months following the second procedure, the patient was admitted with the same symptoms. This time a 1.75 mm rotablator was used cautiously under low speed (150,000 rpm) to ablate the stent struts which handicap adequate expansion and lead to recurrent stenosis. Conclusion: Rotablation can also be used to fix an underexpanded stent if the other options fail.
Keywords: Underexpanded stent, rotablation, restenosis, heavily calcified lesion, green
Pubmed Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. EJMCR. 2020; 16 (December 2020): 441-444. doi:10.24911/ejmcr/173-1593949307
Web Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. https://ejmcr.com/articles/1367 [Access: January 12, 2025]. doi:10.24911/ejmcr/173-1593949307
AMA (American Medical Association) Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. EJMCR. 2020; 16 (December 2020): 441-444. doi:10.24911/ejmcr/173-1593949307
Vancouver/ICMJE Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. EJMCR. (2020), [cited January 12, 2025]; 16 (December 2020): 441-444. doi:10.24911/ejmcr/173-1593949307
Harvard Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz (2020) A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. EJMCR, 16 (December 2020): 441-444. doi:10.24911/ejmcr/173-1593949307
Chicago Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. "A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis." 16 (2020), 441-444. doi:10.24911/ejmcr/173-1593949307
MLA (The Modern Language Association) Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz. "A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis." 16.December 2020 (2020), 441-444. Print. doi:10.24911/ejmcr/173-1593949307
APA (American Psychological Association) Style
Omer Goktekin, Ismail Dogu kilic, Ahmet Karagoz (2020) A bail-out intervention: low-speed rotablation for management of an underexpanded stent causing recurrent stent restenosis. , 16 (December 2020), 441-444. doi:10.24911/ejmcr/173-1593949307