Abstract

Background

Intrastent haematoma after dilatation of in-stent restenosis (ISR) is rarely reported and the optimal treatment for this condition remains unclear.

Case summary

We present the case of an 87-year-old man with in-stent subtotal occlusion of left circumflex. He experienced chest pain after drug-eluting balloon was released in the stent. Intravascular ultrasound revealed intrastent haematoma, which was not relieved with a cutting balloon but completely sealed by an Endeavor Resolute stent.

Discussion

Intrastent haematoma after dilatation of ISR is rare. Reimplantation of stent seems the best method to solve this problem. Intravascular ultrasound imaging may provide insight into the cause of ISR and guide the treatment.

Details

Title
Intrastent haematoma after treatment with a drug-eluting balloon for in-stent restenosis: a case report
Author
Xu-Lin, Hong 1   VIAFID ORCID Logo  ; Guo-Sheng, Fu 1 ; Zhan-Lu, Li 2 ; Zhang, Wen-Bin 1 

1  Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Qingchun Road, NO.3, Hangzhou 310016, China; Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province, Qingchun Road, Hangzhou 310016, China 
2  Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Qingchun Road, NO.3, Hangzhou 310016, China 
Publication year
2021
Publication date
Aug 2021
Publisher
Oxford University Press
e-ISSN
25142119
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/ehjcr/ytab295
ProQuest document ID
3169593969
Copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.