Whiteside Hoyle L, Nagabandi Arun, Kapoor Deepak
Division of Internal Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.
Columbia University Division of Cardiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Cardiovasc Revasc Med. 2019 Dec;20(12):1203-1208. doi: 10.1016/j.carrev.2019.02.025. Epub 2019 Mar 1.
Stentablation with rotational atherectomy for the management of undilatable underexpanded coronary stents is a unique application associated with excellent periprocedural and in-hospital outcomes. Data regarding long-term outcomes remains limited, however the procedure appears to be associated with high prevalence of target lesion revascularization. Given the complexity of such lesions and few available interventional remedies; it is a reasonably safe and widely available approach of which operators should be aware. When stentablation is performed, the principles which guide contemporary rotational atherectomy and percutaneous coronary intervention, including intravascular imaging, should be applied.
使用旋磨术进行支架消融以处理不可扩张、扩张不足的冠状动脉支架是一种独特的应用，其围手术期和院内结局良好。然而，关于长期结局的数据仍然有限，不过该手术似乎与靶病变血运重建的高发生率相关。鉴于此类病变的复杂性以及可用的介入治疗方法较少；这是一种相当安全且广泛可用的方法，操作人员应有所了解。进行支架消融时，应应用指导当代旋磨术和经皮冠状动脉介入治疗的原则，包括血管内成像。
