Usefulness of rotational atherectomy with optical frequency domain imaging guidance for severe calcified coronary lesions after Kawasaki disease

Cardiovasc Interv Ther. 2017 Apr;32(2):154-158. doi: 10.1007/s12928-016-0382-4. Epub 2016 Feb 26.

Abstract

A 40-year-old man was referred to our hospital for the treatment of severe calcified coronary lesions of right coronary artery due to Kawasaki disease. He had a past history of early stent thrombosis after drug-eluting stent implantation for acute myocardial infarction at the left anterior descending artery, regardless of continued dual antiplatelet therapy and no stent malapposition and underexpansion. We performed rotational atherectomy and plain balloon angioplasty with optical frequency domain imaging guidance, and obtained an excellent initial result without stent implantation, which was maintained during the 1-year follow-up.

Keywords: Kawasaki disease; Optical frequency domain imaging; Rotational atherectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary / methods
  • Atherectomy, Coronary / methods*
  • Coronary Angiography
  • Coronary Stenosis / diagnosis
  • Coronary Stenosis / etiology
  • Coronary Stenosis / surgery*
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / surgery
  • Follow-Up Studies
  • Humans
  • Male
  • Mucocutaneous Lymph Node Syndrome / complications*
  • Optical Imaging / methods*
  • Plaque, Atherosclerotic / diagnosis
  • Plaque, Atherosclerotic / etiology
  • Plaque, Atherosclerotic / surgery*
  • Severity of Illness Index
  • Surgery, Computer-Assisted / methods*
  • Time Factors