A coronary “tunnel”: Optical coherence tomography assessment after rotational atherectomy

A 81‐year‐old woman was admitted for exertional angina. Coronary angiogram revealed a severely calcific proximal circumflex lesion. Rotational atherectomy was performed with 1.5 and 1.75 burrs, obtaining a good angiographic result. Optical coherence tomography (OCT) assessment revealed a large disse...

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Veröffentlicht in:	Catheterization and cardiovascular interventions 2014-04, Vol.83 (5), p.E171-E173
Hauptverfasser:	Mestre, Rodrigo Teijeiro, Alegria‐Barrero, Eduardo, Mario, Carlo
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over angioplasty Angioplasty, Balloon, Coronary - instrumentation Atherectomy, Coronary Coronary Angiography Coronary Artery Disease - diagnosis Coronary Artery Disease - pathology Coronary Artery Disease - therapy Coronary Vessels - diagnostic imaging Coronary Vessels - pathology Female Humans Optical coherence tomography Predictive Value of Tests rotational atherectomy Stents Tomography, Optical Coherence Treatment Outcome Vascular Calcification - diagnosis Vascular Calcification - pathology Vascular Calcification - therapy
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Zusammenfassung:	A 81‐year‐old woman was admitted for exertional angina. Coronary angiogram revealed a severely calcific proximal circumflex lesion. Rotational atherectomy was performed with 1.5 and 1.75 burrs, obtaining a good angiographic result. Optical coherence tomography (OCT) assessment revealed a large dissection parallel to the true lumen. We implanted a 3.0 mm × 38 mm Xience Prime® stent and postdilated it with a 3.0‐mm non‐compliant balloon. Final OCT pullback showed mild malapposed struts with large lumen area. 3D‐OCT reconstruction confirmed a large lumen after stent implantation.© 2013 Wiley Periodicals, Inc.
ISSN:	1522-1946 1522-726X
DOI:	10.1002/ccd.24388