Bail-out stenting for flow limiting dissections after rotational atherectomy in complex coronary lesions.
Flow limiting dissection may occur after rotational atherectomy and require urgent management. Important questions about the safety and effectiveness of bail-out stenting in this setting remain to be answered. We have observed that emergent stenting after rotational atherectomy can be accomplished successfully in most patients, high pressure stent dilatation is both necessary and well tolerated, and lesion debulking facilitates movement of stents into diseased arterial segments.
Levin
T N
TN
Section of Cardiology, Hans Hecht Hemodynamics Laboratory, University of Chicago Hospital, IL 60637, USA.
Carroll
J D
JD
Feldman
T
T
D000368:Aged; D017225:Atherectomy, Coronary / Q000009:adverse effects*; D003326:Coronary Circulation; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome