Use of SafeCut Balloon for treatment of in-stent restenosis of a previously underexpanded sirolimus-eluting stent with a heavily calcified plaque.
Calcified lesions are a cause of stent underexpansion which significantly increases the subsequent risks of in-stent restenosis and thrombosis, even when drug-eluting stents are used. In this report, we describe a novel balloon catheter (SafeCut) that enabled adequate dilatation of in-stent restenosis in a previously underexpanded sirolimus-eluting stent that was unresponsive to high-pressure inflation using a conventional balloon after aggressive rotational atherectomy to treat a heavily calcified plaque.
Otsuka
Yoritaka
Y
Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center, Osaka, Japan. yotsuka@hsp.ncvc.go.jp
Kasahara
Yoichiro
Y
Kawamura
Atsushi
A
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020099:Coated Materials, Biocompatible / Q000009:adverse effects*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004867:Equipment Design; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional
D020099:Coated Materials, Biocompatible