In-stent restenosis

Case Series

Radiation for Refractory Restenosis via the Radial Route: Compatibility of Coronary Brachytherapy With Transradial Access

05/29/2018

Goutham Ravipati, BS, Marguerite Davis, BS, RT, David L. Fischman, MD, Robert B. Den, MD, Michael P. Savage, MD, Departments of Medicine (Cardiology) and Radiation Oncology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

Goutham Ravipati, BS, Marguerite Davi...

In this report, we describe two patients with a history of numerous procedures for recurrent DES restenosis, in whom coronary brachytherapy with the Beta-Cath system was successfully used through a transradial approach.

In this report, we describe two...

05/29/2018

Cath Lab Digest

Subadventitial Advancement of a Mother-and-Child Catheter to Allow Successful Recanalization of a Complex In-Stent Chronic Total Occlusion: Testing the Resistance of the Adventitia

11/28/2017

Luciano Candilio, MD(Res)^1,2; Satoru Mitomo, MD¹; Mauro Carlino, MD¹; Antonio Colombo, MD¹; Lorenzo Azzalini, MD, PhD, MSc¹

Luciano Candilio, MD(Res)1,2; Satoru...

Herein, we describe a case of successful in-stent right coronary artery CTO-PCI performed with subadventitial crossing, crushing of the occluded stents, and advancement of a mother-and-child catheter to the distal right coronary artery...

Herein, we describe a case of...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

Coronary CT Angiography for In-Stent Restenosis: Diagnosis and Therapeutic Planning

05/31/2017

Jos√© Rozado, MD¹; Isaac Pascual, MD¹; Mar√≠a Mart√≠n, MD, PhD¹; Juan Calvo, MD²; Pablo Avanzas, MD¹; C√©sar Mor√≠s, MD, PhD¹

Jos√© Rozado, MD1; Isaac Pascual, MD...

This case is illustrative of the potential role of coronary CT angiography to identify the severity and mechanism of restenosis, and thus guide the PCI procedure in a case of especially difficult catheterization.

This case is illustrative of the...

05/31/2017

Journal of Invasive Cardiology

Original Contribution

Five-Year Freedom From Target-Lesion Revascularization Using Excimer Laser Ablation Therapy in the Treatment of In-Stent Restenosis of Femoropopliteal Arteries

05/31/2017

Nicolas W. Shammas, MD, MS; Gail A. Shammas, BSc, RN; Lorraine Arikat, RA; Andrew N. Shammas, BS; Alec Darrow, BS; Avantika Banerjee, MS; Benjamin Rudy, BA

Nicolas W. Shammas, MD, MS; Gail A. ...

We present a retrospective analysis from our center on the 5-year outcomes of excimer laser atherectomy in the treatment of in-stent restenosis of the femoropopliteal arteries.

We present a retrospective...

05/31/2017

Journal of Invasive Cardiology

Clinical Images

The Difference Between Success and Failure: Subintimal Stenting Around an Occluded Stent for Treatment of a Chronic Total Occlusion Due to In-Stent Restenosis

10/28/2016

James Roy, MB, BCh, FRACP¹; Andrew Lucking, BMedSci, MBChB, MRCP²; Julian Strange, MBChB, MRCP, MD³; James C. Spratt, Bsc, MD, FRCP⁴

James Roy, MB, BCh, FRACP1; Andrew L...

PCI for occlusive in-stent restenosis is challenging principally due to the highly resistant nature of the material that comprises the proximal cap. We present a case where conventional techniques failed, and its successful resolution with...

PCI for occlusive in-stent...

10/28/2016

Journal of Invasive Cardiology

Clinical Images

Rotational Atherectomy of Three Overlapping Stent Layers

08/31/2016

Tiberio M. Frisoli, MD¹; Harold Friedman²; William W. O‚ÄôNeill³

Tiberio M. Frisoli, MD1; Harold Frie...

A patient was found to have in-stent restenosis within three layers of underexpanded stents implanted in 2004, 2011, and 2014. Rotational atherectomy safely yielded stent strut ablation (reduced to one layer), lesion expansion, and very good...

A patient was found to have...

08/31/2016

Journal of Invasive Cardiology

Clinical Review

The Biology of In-Stent Restenosis and the Rationale for Debulking

08/30/2016

Jos C. van den Berg, MD

Ospedale Regionale di Lugano, Lugano, Switzerland

Jos C. van den Berg, MD Ospedale Reg...

This article provides a description of the biology of in-stent restenosis as well as an overview of the literature on the treatment of in-stent restenosis using various available techniques and the role of debulking.

This article provides a...

08/30/2016

Vascular Disease Management

Interview

An Update on the RESCUE In-stent Restenosis Trial With Dheeraj Rajan, MD

05/22/2016

Jennifer Ford

Dheeraj K. Rajan, MD, FRCPC, FSIR, discusses 12- and 24-month follow-up data from the Fluency Plus Endovascular Stent Graft for In-stent Restenosis (RESCUE) study.

Dheeraj K. Rajan, MD, FRCPC,...

05/22/2016

Vascular Disease Management

Optimizing Excimer Laser Atherectomy Technique for Treatment of Femoropopliteal In-Stent Restenosis

12/30/2015

Larry E. Miller, PhD¹; Richard Kovach, MD²; Robert Beasley, MD³; Jeffrey A. Goldstein, MD⁴; Hailey Austin⁵; Blaine A. Schneider, PhD⁵

¹Miller Scientific Consulting; ²Deborah Heart and Lung Center, ³Mount Sinai Heart Institute; ⁴Prairie Cardiovascular Consultants; ⁵The Spectranetics Corporation

Larry E. Miller, PhD1; Richard Kovach...

The authors describe the procedural technique of excimer laser atherectomy within in-stent restenosis and to highlight the clinical utility of this technology in challenging case examples.

The authors describe the...

12/30/2015

Vascular Disease Management

OCT Assessment of Cutting Balloon Angioplasty for In-Stent Restenosis

04/03/2015

Yuliya Vengrenyuk, PhD, Annapoorna Kini, MD, Division of Cardiology, Mount Sinai Hospital, New York, New York

Yuliya Vengrenyuk, PhD, Annapoorna Ki...

The following case is part of a series of optical coherence tomography-focused cases supported by St. Jude Medical.

The following case is part of a...

04/03/2015

Cath Lab Digest