Side-strut stenting technique for the treatment of aorto-ostial in-stent restenosis and deformed stent struts.
Percutaneous coronary intervention for the treatment of aorto-ostial in-stent restenosis poses unique technical challenges not offered by other lesion subtypes. These difficulties are further enhanced when encountered with a case of deformed stent struts preventing coaxial guiding catheter engagement and introduction of guidewire through the true stent lumen. In this report, we describe a method of stenting through stent struts side-strut stenting for treating aorto-ostial in-stent restenosis associated with deformed stent struts resulting in good long-term outcome.
Burstein
Jason M
JM
Division of Cardiology, St. Michael's Hospital, Toronto, Ontario, Canada.
Hong
Tony
T
Cheema
Asim N
AN
D000208:Acute Disease; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000628:therapy; D003331:Coronary Vessels; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D015607:Stents / Q000009:adverse effects*