旋磨术 - The Left Main and Coronary Artery Bifurcation Lesion Summit (CBS)

Abstract

Rotational atherectomy in the subadventitial space to allow safe and successful chronic total occlusion recanalization: Pushing the limit further
Rotational atherectomy and new-generation drug-eluting stent implantation
Long-term outcomes of rotational atherectomy of underexpanded stents. A single center experience
Short-term and long-term clinical outcomes of rotational atherectomy in resistant chronic total occlusion
Prevalence, Presentation and Treatment of 'Balloon Undilatable' Chronic Total Occlusions: Insights from a Multicenter US Registry
A Meta-Analysis of Contemporary Lesion Modification Strategies During Percutaneous Coronary Intervention in 244,795 Patients From 22 Studies
Rotational Atherectomy Followed by Drug-Coated Balloon Dilation for Left Main In-Stent Restenosis in the Setting of Acute Coronary Syndrome Complicated with Right Coronary Chronic Total Occlusion
Radial Versus Femoral Access for Rotational Atherectomy: A UK Observational Study of 8622 Patients
Optical frequency-domain imaging findings to predict good stent expansion after rotational atherectomy for severely calcified coronary lesions
Transverse partial stent ablation with rotational atherectomy for suboptimal culotte technique in left main stem bifurcation

Clinical Case Study

November 2017 [Epub ahead of print]

JOURNAL：Catheter Cardiovasc Interv.

Transverse partial stent ablation with rotational atherectomy for suboptimal culotte technique in left main stem bifurcation

De Maria GL, Kharbanda R, Banning AP

8315

Keywords: coronary intervention; optical coherence tomography; rotational atherectomy

ABSTRACT

Longitudinal rotational atherectomy of metal struts is well described as bail-out strategy to treat undilatable instent restenosis. Ablation of metal stent struts jailing the ostium of a major side branch in a coronary bifurcation is not described. In the current report, we describe a case of "transverse" rotational atherectomy to treat a failure of culotte stenting in a left main stem bifurcation. We document for the first time in vivo and in man the effect of this strategy using optical coherence tomography.