We describe the case of a patient with multiple comorbidities scheduled to undergo intracoronary optical coherence tomography-guided percutaneous coronary intervention. Based on the images acquired, it was possible to observe the mechanism of restenosis and the anatomy of the lesion, and to optimize planning of the procedure. Our strategy was to resect the neointimal hyperplastic tissue using laser atherectomy, with great results and a successful procedure.
Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography
Dallan,Luis Augusto Palma and Pereira,Gabriel Tensol Rodrigues and Bezerra,Hiram Grando. Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography. J Transcat Intervent [online]. 2019, vol.27, [cited 2026-03-06], Available from: <https://jotci.org/article/management-of-in-stent-restenosis-of-the-left-main-coronary-artery-with-laser-atherectomy-guided-by-intracoronary-optical-coherence-tomography/>. ISSN . https://doi.org/10.31160/JOTCI201927A20180002.
Dallan,Luis Augusto Palma; Pereira,Gabriel Tensol Rodrigues; Bezerra,Hiram Grando. Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography. J Transcat Intervent, v.27, Mar. 2019. Available from: <https://jotci.org/article/management-of-in-stent-restenosis-of-the-left-main-coronary-artery-with-laser-atherectomy-guided-by-intracoronary-optical-coherence-tomography/>. acess on 06 Mar. 2026. https://doi.org/10.31160/JOTCI201927A20180002.
Dallan,Luis Augusto Palma, & Pereira,Gabriel Tensol Rodrigues, & Bezerra,Hiram Grando. (2019). Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography. J Transcat Intervent, 27, https://doi.org/10.31160/JOTCI201927A20180002.
DallanLuis Augusto Palma, PereiraGabriel Tensol Rodrigues, BezerraHiram Grando. Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography. J Transcat Intervent [Internet]. 2019 Mar [cited 2026 Mar 06]; 27: Available from: https://jotci.org/article/management-of-in-stent-restenosis-of-the-left-main-coronary-artery-with-laser-atherectomy-guided-by-intracoronary-optical-coherence-tomography/. https://doi.org/10.31160/JOTCI201927A20180002.
