Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned
Joint Authors
Shaikh, K.
Kelly, S.
Gedela, M.
Kumar, V.
Stys, A.
Stys, T.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Shaikh, K.& Kelly, S.& Gedela, M.& Kumar, V.& Stys, A.& Stys, T.. 2016. Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100346
Modern Language Association (MLA)
Shaikh, K.…[et al.]. Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned. Case Reports in Cardiology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100346
American Medical Association (AMA)
Shaikh, K.& Kelly, S.& Gedela, M.& Kumar, V.& Stys, A.& Stys, T.. Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100346
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100346