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

Mestre Rodrigo Teijeiro | Zendy; AlegriaBarrero Eduardo | Zendy; Mario Carlo | Zendy

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

Author(s) -

Mestre Rodrigo Teijeiro,

AlegriaBarrero Eduardo,

Mario Carlo

Publication year - 2013

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.24388

Subject(s) - medicine , optical coherence tomography , lumen (anatomy) , stent , radiology , balloon , unstable angina , angioplasty , circumflex , superficial femoral artery , artery , femoral artery , cardiology , surgery , myocardial infarction

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.

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