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Intracoronary lithotripsy for calcific neoatherosclerotic in-stent restenosis: a case report

机译:钙质岩石酸度用于钙化NeoatherosoLerictoric in-Stent Resenisis:案例报告

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Background In-stent restenosis is a difficult percutaneous scenario if calcific neoatherosclerosis is the underlying aetiology. Case summary A 69-year-old diabetic woman with a previous percutaneous coronary intervention on the left anterior descending coronary artery was readmitted for non-ST-elevation myocardial infarction. In-stent restenosis due to calcific neoatherosclerosis was observed by intracoronary imaging during the intervention. Intravascular lithotripsy was used successfully to fracture the underlying calcific plaque. However, the balloon ruptured during treatment although this did not damage the artery. Discussion Intravascular lithotripsy is a promising tool for the treatment of extremely calcified lesions including calcific neoatherosclerosis of in-stent restenosis. Balloon rupture is a complication of this new percutaneous treatment that has not previously been described.
机译:背景技术如果钙化新生粥样硬化是潜在的病因学,则支架内再狭窄是一种困难的经皮。案例概述一名69岁的糖尿病女性在左前期下降冠状动脉上具有先前经皮冠状动脉介入的糖尿病,用于非ST-EXTATION心肌梗死。由于干预期间,通过颅内成像观察到由于钙化新牙粥引起的支架再狭窄。血管内的碎石术成功地用于裂缝底层钙化斑块。然而,气球在治疗期间破裂虽然这没有损伤动脉。讨论血管内碎石术是治疗极其钙化病变的有前途的工具,包括钙化内粥样硬化粥样硬化粥样硬化。气球破裂是此前未描述的新经皮治疗的并发症。

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