title: "Cutting Balloon and the Three Burrs": treatment for ostial left anterior descending artery in-stent restenosis.
abstract: A 58-year-old man re-presented with symptoms of angina 3 months after percutaneous transluminal coronary angioplasty (PTCA) and stenting to his proximal left anterior descending artery (LAD). Angiography revealed ostial in-stent restenosis of the LAD, which was treated with rotational atherectomy and a  cutting  balloon PTCA. Combining two useful technologies for treating in-stent restenosis may prove to yield better results than using either technique alone. Long-term benefit will need to be assessed by randomized studies.
authors.affiliation: The Cardiothoracic Centre Liverpool, NHS Trust, Thomas Drive, Liverpool L14 3PE, United Kingdom. serge.osula@tinyonline.co.uk
authors.forename: Serge
authors.initials: S
authors.lastname: Osula
authors.forename: David R
authors.initials: DR
authors.lastname: Ramsdale
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D023903:Coronary Restenosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D015607:Stents / Q000009:adverse effects