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Longitudinal rotational atherectomy of metal struts is well described as bail-out strategy to treat undilatable instent restenosis. Ablation of metal stent struts jailing the ostium of a major side branch in a coronary bifurcation is not described. In the current report, we describe a case of "transverse" rotational atherectomy to treat a failure of culotte stenting in a left main stem bifurcation. We document for the first time in vivo and in man the effect of this strategy using optical coherence tomography.

Original publication

DOI

10.1002/ccd.27404

Type

Journal article

Journal

Catheter Cardiovasc Interv

Publication Date

06/11/2017

Keywords

coronary intervention, optical coherence tomography, rotational atherectomy