scholarly journals Bail-out unexpanded stent implantation in acute left main dissection treated with intra coronary lithotripsy: a case report

2019 ◽  
Vol 3 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Gabriele Tumminello ◽  
Chiara Cavallino ◽  
Andrea Demarchi ◽  
Francesco Rametta
Keyword(s):  
Case Report ◽  
Stent Implantation ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
High Rate ◽  
Percutaneous Technique ◽  
Left Main ◽  
Coronary Lesions ◽  
Bail Out ◽  
Calcified Coronary Lesions

Abstract Background The percutaneous treatment of heavily calcified coronary lesions is challenging and presents high rate of complications. Unexpandable stent is one of the most serious complication. Both of these conditions may benefit from the intracoronary lithotripsy (ICL-Shockwave®), a new coronary percutaneous technique. Case summary This case report describes a man treated with percutaneous coronary intervention (PCI) for a left main (LM) severe calcified lesion. The PCI was complicated by a huge dissection of LM in a not completely expandable lesion. A bail-out stent implantation was performed with residual unexpansion. The ICL permitted to expand acutely the stent and obtain an optimal final result. Discussion Familiarity with dedicated techniques and devices to treat calcified coronary lesions is fundamental to perform high-risk complex PCI. This case emphasizes the potential usefulness of the new ICL technique to treat calcified lesions or related complications like unexpandable stent.

Patient Selection and Procedural Considerations for Coronary Orbital Atherectomy System

2016 ◽  
Vol 11 (1) ◽  
pp. 33
Author(s):  
Yohei Sotomi ◽  
◽  
◽  
◽  
◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Rotational Atherectomy ◽  
Percutaneous Coronary ◽  
Orbital Atherectomy ◽  
Long Term Follow Up ◽  
Coronary Lesions ◽  
Calcified Coronary Lesions

Despite advances in technology, percutaneous coronary intervention (PCI) of severely calcified coronary lesions remains challenging. Rotational atherectomy is one of the current therapeutic options to manage calcified lesions, but has a limited role in facilitating the dilation or stenting of lesions that cannot be crossed or expanded with other PCI techniques due to unfavourable clinical outcome in long-term follow-up. However the results of orbital atherectomy presented in the ORBIT I and ORBIT II trials were encouraging. In addition to these encouraging data, necessity for sufficient lesion preparation before implantation of bioresorbable scaffolds lead to resurgence in the use of atherectomy. This article summarises currently available publications on orbital atherectomy (Cardiovascular Systems Inc.) and compares them with rotational atherectomy.

scholarly journals Sirolimus-Eluting Versus Paclitaxel-Eluting Stent Implantation for the Percutaneous Treatment of Left Main Coronary Artery Disease

2006 ◽  
Vol 47 (3) ◽  
pp. 507-514 ◽  
Author(s):  
Marco Valgimigli ◽  
Patrizia Malagutti ◽  
Jiro Aoki ◽  
Héctor M. Garcia-Garcia ◽  
Gaston A. Rodriguez Granillo ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Stent Implantation ◽  
Left Main Coronary Artery ◽  
Percutaneous Treatment ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease

scholarly journals Pyogenic infection of the hip joint as a complication of a femoral artery vascular access for percutaneous coronary intervention

2018 ◽  
Vol 12 (5) ◽  
pp. 155-160
Author(s):  
Jaroslaw Ucieklak ◽  
Robert Michał Proczka
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Vascular Access ◽  
Hip Joint ◽  
Femoral Artery ◽  
Stent Implantation ◽  
Rare Case ◽  
Coronary Intervention ◽  
Pyogenic Infection ◽  
Percutaneous Coronary

A rare case of clinical complication following a percutaneous coronary intervention is presented. A femoral vascular access was chosen to treat a coronary lesion with a stent implantation. This femoral vascular access, however, resulted in a pyogenic infection of the ipsilateral hip joint that was not properly diagnosed for an extended post-interventional period. The hip joint completely deteriorated before its underlying cause was identified. This case report illustrates the importance of recognizing potential endovascular complications independently of their frequency.

scholarly journals Comparison of Long-term Outcomes Following Sirolimus-eluting Stent vs Paclitaxel-eluting Stent Implantation in Patients with Long Calcified Coronary Lesions

2009 ◽  
Vol 32 (11) ◽  
pp. 633-638 ◽  
Author(s):  
Seung-Ho Hur ◽  
Yun-Kyeong Cho ◽  
Chang-Wook Nam ◽  
Hyungseop Kim ◽  
Seong-Wook Han ◽  
...  
Keyword(s):  
Stent Implantation ◽  
Long Term Outcomes ◽  
Coronary Lesions ◽  
Sirolimus Eluting Stent ◽  
Calcified Coronary Lesions

scholarly journals Left Main Trifurcation and Its Percutaneous Treatment

2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Mila Kovacevic ◽  
Francesco Burzotta ◽  
Sameh Elharty ◽  
George Besis ◽  
Cristina Aurigemma ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Cardiac Surgery ◽  
Anatomic Variation ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
Left Main ◽  
Balloon Inflation ◽  
Percutaneous Coronary ◽  
Wide Variability ◽  
Branch Size

In humans, the most common anatomic variation of the left main (LM) stem is represented by its distal division in 3 branches (LM trifurcation) instead of 2. LM trifurcation disease accounts for ≈10% to 15% of all LM diseases and is often managed by cardiac surgery. Over the last decades, due to the improvement of interventional material and techniques, percutaneous coronary intervention started gaining acceptance to treat patients with LM disease including those with trifurcated anatomy. Yet, LM trifurcation stenosis with its intrinsic anatomic complexity (3 branches, at least 4 angles, wide variability in branch size and disease) is recognized as a challenging lesion subset for percutaneous coronary intervention. In this review, we summarize available data about LM trifurcation anatomy, its influence on percutaneous coronary intervention feasibility, and the evidence collected regarding the different technical options (including trissing balloon inflation).

scholarly journals Intracoronary Lithoplasty in Percutaneous Treatment of Challenging Calcified Coronary Lesions

2020 ◽  
Vol 2 (11) ◽  
pp. 1679-1683
Author(s):  
Alfredo Marchese ◽  
Antonio Tito ◽  
Fabrizio Resta ◽  
Antonio Colombo
Keyword(s):  
Percutaneous Treatment ◽  
Coronary Lesions ◽  
Calcified Coronary Lesions
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