Severely Circumferentially Calcified Neointima as a New Cause of Undilatable In-Stent Restenosis
Joint Authors
Kashiwagi, Manabu
Tanimoto, Takashi
Kitabata, Hironori
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 74-year old man presented recurrent angina pectoris due to in-stent restenosis (ISR) with severely calcified neointima.
In-stent neoatherosclerosis (NA) is associated with late stent failure, and NA with calcified neointima occurs in some cases.
Because the presence of neointimal calcification could lead to underexpansion of newly implanted stent for ISR, a scoring balloon was selected for predilatation to obtain maximum extrusion of the neointimal plaque and subsequently, an everolimus-eluting stent was implanted.
However, moderate stenosis remained on coronary angiography, and optical coherence tomography (OCT) revealed underexpansion of the newly implanted stent because an attempt at balloon dilatation of neointimal calcification failed.
Although OCT can clearly discriminate stent struts from neointimal calcification, we did not perform OCT assessment between scoring balloon and stenting.
It is highly recommended to confirm whether the lesion is adequately treated by balloon angioplasty before stenting in cases with calcified ISR.
American Psychological Association (APA)
Kashiwagi, Manabu& Tanimoto, Takashi& Kitabata, Hironori. 2018. Severely Circumferentially Calcified Neointima as a New Cause of Undilatable In-Stent Restenosis. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141049
Modern Language Association (MLA)
Kashiwagi, Manabu…[et al.]. Severely Circumferentially Calcified Neointima as a New Cause of Undilatable In-Stent Restenosis. Case Reports in Cardiology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1141049
American Medical Association (AMA)
Kashiwagi, Manabu& Tanimoto, Takashi& Kitabata, Hironori. Severely Circumferentially Calcified Neointima as a New Cause of Undilatable In-Stent Restenosis. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141049
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141049