Abstrait

Razer percutaneous coronary intervention (Rotational and Laser atherectomy) for an undilatable coronary lesion with a under deployed stent

Vivek N Kodoth, Mark Spence, Paul W Johnston

An under expanded stent in a heavily calci€ed lesion is a technical challenge and a therapeutic dilemma. Under expanded stents are associated with instent restenosis, acute and sub-acute thrombosis and residual angina. Excimer laser (ELCA) has been successfully used in such cases and there are isolated reports of the use rotational atherectomy (RA). There are only few published reports where both these modalities were used together. We report a case in which ELCA with RA (Razer), was used successfully for percutaneous coronary intervention (PCI) of an undilatable coronary lesion with an under deployed stent.