Challenging Intervention to Restenosis of Right Coronary Ostial Stent Excessively Overhanging to the Aorta: A Case Report and Brief Review of Literature

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ESENBOĞA K., Sahin E., ÖZYÜNCÜ N., Yamanturk Y., TURHAN S.

CUREUS JOURNAL OF MEDICAL SCIENCE, cilt.14, sa.5, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 14 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.7759/cureus.25037
  • Dergi Adı: CUREUS JOURNAL OF MEDICAL SCIENCE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Anahtar Kelimeler: side strut, right coronary artery, double wire technique, acute coronary syndrome, aorto-ostial stent restenosis
  • Ankara Üniversitesi Adresli: Evet

Özet

Intervention of aorto-ostial stent restenosis is challenging due to coronary anatomical variations, possible non-selective ostial engagements, and difficulties crossing the central lumen. Aorto-ostial stent restenosis is intervened through the central lumen or protruding side struts using various techniques. These techniques are often difficult and complex such as double wire technique, balloon-assisted technique, snare technique, side-strut sequential ballooning technique, and guideline-facilitated side strut stenting technique. In this case report, we presented an intervention for right coronary artery (RCA) ostial stent restenosis using a combination of balloon-assisted double wire technique and side-strut stenting technique in an acute coronary syndrome patient.