title: Rotational Atherectomy Followed by Drug-Coated Balloon Dilation in Possible Coronary Sequelae of Kawasaki Disease.
abstract: Rotational atherectomy with/without low-pressure balloon dilation has been a mainstay of interventional treatment for stenosis due to the coronary sequelae of Kawasaki disease (KD). Here, we report a restenosis case of probable coronary sequelae of KD treated with rotational atherectomy with low-pressure 2.5-mm balloon dilation 6 months previously. Under the guidance of optical frequency domain imaging, we performed rotational atherectomy followed by 2.5-mm drug-coated balloon (DCB) dilation for an atherosclerotic restenosis at the inlet of a calcified aneurysm in the proximal left anterior descending coronary artery. Coronary angiography 6 months later showed no apparent progression of vessel narrowing, and we could defer repeat intervention. The present case suggests that rotational atherectomy followed by DCB dilation could be an alternative revascularization therapy of choice in coronary KD sequelae complicated with atherosclerosis.
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital.
authors.forename: Jun
authors.initials: J
authors.lastname: Shiraishi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Matsubara
authors.forename: Takashi
authors.initials: T
authors.lastname: Yanagiuchi
authors.forename: Akira
authors.initials: A
authors.lastname: Shikuma
authors.forename: Keisuke
authors.initials: K
authors.lastname: Shoji
authors.forename: Marie
authors.initials: M
authors.lastname: Nishikawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ito
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kimura
authors.forename: Eigo
authors.initials: E
authors.lastname: Kishita
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hyogo
authors.forename: Takahisa
authors.initials: T
authors.lastname: Sawada
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Kohno
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods; D017225:Atherectomy, Coronary / Q000379:methods*; D062906:Cardiac Catheters; D017023:Coronary Angiography / Q000379:methods; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D016896:Treatment Outcome