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Cardiovascular Medicine
Volume 19
Issue 2
10.4414/cvm.2016.00392
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

How to Do It? Rotational Atherectomy of In-Stent Restenosis

by
Ganiga Srinivasaiah Sridhar
,
Chee Kok Han
and
Timothy Watson
*
Division of Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2016, 19(2), 55; https://doi.org/10.4414/cvm.2016.00392
Submission received: 17 November 2015 / Revised: 17 December 2015 / Accepted: 17 January 2016 / Published: 17 February 2016
Versions Notes

Abstract

A 69-year-old man with previous bypass surgery and multiple coronary stents presented with refractory angina. At angiography, the only suitable target was the left anterior descending artery (LAD), which had severe disease extending through an old stent into a large diagonal. Because of eccentric in-stent restenosis, it was only possible to access the diagonal after rotational atherectomy of the LAD through the previous stent. Subsequently separate angioplasty wires were passed into the LAD and diagonal. After sequential predilatation, T-stenting was performed using two drug-eluting stents, finalised with kissing inflations and proximal optimisation using noncompliant balloons. He remains symptom-free at follow-up.
Keywords: coronary artery disease; percutaneous coronary intervention; bifurcation strategies; instent restenosis; rotational atherectomy coronary artery disease; percutaneous coronary intervention; bifurcation strategies; instent restenosis; rotational atherectomy

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MDPI and ACS Style

Sridhar, G.S.; Kok Han, C.; Watson, T. How to Do It? Rotational Atherectomy of In-Stent Restenosis. Cardiovasc. Med. 2016, 19, 55. https://doi.org/10.4414/cvm.2016.00392

AMA Style

Sridhar GS, Kok Han C, Watson T. How to Do It? Rotational Atherectomy of In-Stent Restenosis. Cardiovascular Medicine. 2016; 19(2):55. https://doi.org/10.4414/cvm.2016.00392

Chicago/Turabian Style

Sridhar, Ganiga Srinivasaiah, Chee Kok Han, and Timothy Watson. 2016. "How to Do It? Rotational Atherectomy of In-Stent Restenosis" Cardiovascular Medicine 19, no. 2: 55. https://doi.org/10.4414/cvm.2016.00392

APA Style

Sridhar, G. S., Kok Han, C., & Watson, T. (2016). How to Do It? Rotational Atherectomy of In-Stent Restenosis. Cardiovascular Medicine, 19(2), 55. https://doi.org/10.4414/cvm.2016.00392

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