Refractory In-Stent Restenosis Attributable to Eruptive Calcified Nodule.
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ABSTRACT: A 75-year-old female patient on hemodialysis presented with non-ST-segment elevation myocardial infarction. After successful primary percutaneous coronary intervention, in-stent restenosis (ISR) occurred 3 consecutive times. Intravascular imaging assessment during the repeated percutaneous coronary intervention indicated that the ISR was not associated with neointimal hyperplasia but was mainly attributed to a calcified nodule, which protruded into the lumen. We applied excimer laser catheter ablation to avoid another ISR. (Level of Difficulty: Intermediate.).
SUBMITTER: Nakano H
PROVIDER: S-EPMC8299124 | biostudies-literature |
REPOSITORIES: biostudies-literature
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