The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Complications with a happy ending

EuroIntervention 2011;7:897-899. DOI: 10.4244/EIJV7I8A141

1. Service de Cardiologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; 2. Department of Internal Medicine, Divisions of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA
Interventional cardiology, a relative young sub-specialty, witnessed an exponential growth in material design and technology. Therefore, different strategies and techniques may be applied during PCI. Atherectomy, a long-standing technique for debulking and/or treatment of heavily calcified lesions is considered challenging and at higher risk for complications. Despite this, both directional and rotational atherectomy have occasionally been suggested for the treatment of in-stent restenosis.

In this edition of the journal, two cases of severe in-stent restenosis (ISR) treated by atherectomy are reported. In both, atherectomy resulted unexpectedly in total stent extraction by the atherectomy device.

The first case ...

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