Novel Use of an Orbital Atherectomy Device for In-Stent Restenosis: Lessons Learned

Figure 1

(a) RAO caudal projection, identifying 90% in-stent restenosis of LAD (white arrow). (b) RAO cranial projection showing orbital atherectomy system engaged in stent (white arrow). (c) Radiopaque distortion of device head showing unraveling of driveline coils (white arrow). (d) Viper wire embolized in small distal right profunda femoris artery (white arrow). (e) RAO cranial projection, final result, showing widened luminal area of in-stent restenosis (white arrow).

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