IVUS-guided rotational atherectomy for unexpandable paclitaxel-eluting stent:A case report and review of literature
10.3969/j.issn.1671-5411.2013.03.014
- Author:
Poming KU
;
Tsueiyuen HUANG
;
Zhihcherng CHEN
;
Max WOO
;
Juisung HUNG
- Publication Type:Journal Article
- Keywords:
Stent thrombosis;
Unexpanded stent;
Intravascular ultrasound;
Rotational atherectomy
- From:
Journal of Geriatric Cardiology
2013;(3):226-229
- CountryChina
- Language:Chinese
-
Abstract:
We describe a patient suffering from late stent thrombosis in a paclitaxel-eluting stent which had an underexpanded ring due to the three-hundred-sixty-degree circumferential calcified plaque. Intravascular ultrasound (IVUS) revealed rotational atherectomy could success-fully ablate both the metallic ring and the calcified ring. The ablated segment was scaffolded with a new paclitaxel-eluting stent, well ex-panded and documented by IVUS. To our knowledge, this is the first case report of stent ablation for an unexpanded paclitaxel-eluting stent. From the Medline index, there were only six case reports of stent ablation. We review and summarize the operation details of stent ablation from these reports.
