A case of Kawasaki's disease with extensive calcifications needing rotational atherectomy with a 2.5mm burr

Kastsumasa Sato, Azeem Latib, Charis Costopoulos, Vasileios F. Panoulas, Toru Naganuma, Tadashi Miyazaki, Antonio Colombo

Research output: Contribution to journalArticle

Abstract

This case report demonstrates a unique strategy requiring a 2.5 mm burr to treat in-stent restenosis of an originally underexpanded stent, implanted in a heavily calcified lesion within a giant aneurysm by Kawasaki disease. Despite our procedural success, it should be emphasized that stent implantation in undilatable lesions should be avoided. When an angiographically calcified lesion within an ectatic segment is observed in a patient with Kawasaki disease, it is recommended that the operator evaluates in detail the severity and location of calcification using intravascular ultrasound imaging and pays meticulous attention to lesion preparation.

Original languageEnglish
Pages (from-to)248-251
Number of pages4
JournalCardiovascular Revascularization Medicine
Volume15
Issue number4
DOIs
Publication statusPublished - 2014

Keywords

  • Excimer laser coronary atherectomy
  • In-stent restenosis
  • Percutaneous coronary intervention
  • Rotablator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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