J Transcat Intervent. 08/Mar/2019;27:eA20180002.

Management of in-stent restenosis of the left main coronary artery with laser atherectomy guided by intracoronary optical coherence tomography

Luis Augusto Palma Dallan, Gabriel Tensol Rodrigues Pereira, Hiram Grando Bezerra

DOI: 10.31160/JOTCI201927A20180002

ABSTRACT

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

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