Stentablation with Rotational Atherectomy for the Management of Underexpanded and Undilatable Coronary Stents

Cardiovasc Revasc Med. 2019 Dec;20(12):1203-1208. doi: 10.1016/j.carrev.2019.02.025. Epub 2019 Mar 1.

Abstract

Stentablation with rotational atherectomy for the management of undilatable underexpanded coronary stents is a unique application associated with excellent periprocedural and in-hospital outcomes. Data regarding long-term outcomes remains limited, however the procedure appears to be associated with high prevalence of target lesion revascularization. Given the complexity of such lesions and few available interventional remedies; it is a reasonably safe and widely available approach of which operators should be aware. When stentablation is performed, the principles which guide contemporary rotational atherectomy and percutaneous coronary intervention, including intravascular imaging, should be applied.

Keywords: Percutaneous coronary intervention; Rotational Atherectomy; Stentablation; Underexpanded stent.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Atherectomy, Coronary* / adverse effects
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / instrumentation*
  • Prosthesis Design
  • Prosthesis Failure*
  • Risk Factors
  • Stents*
  • Treatment Outcome
  • Vascular Calcification / diagnostic imaging
  • Vascular Calcification / physiopathology
  • Vascular Calcification / therapy*