Premium
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.