Technical Mastery: Guidance on Proper Imaging, Lesion Preparation, and Deployment for Coronary Drug-Coated Balloons. Part 3: Bringing it All Together: Case Reviews of In-Stent Restenosis-Case: Treating Single-Layer ISR, Dr. Brian Bergmark

Case: Treating Single-Layer ISR, Dr. Brian Bergmark

Video Transcription

Video Summary

The discussion focuses on treating single-layer in-stent restenosis (ISR), especially in complex cases like bifurcations with multiple stent layers. Drug-eluting stents (DES) are commonly used but have risks if failures occur repeatedly. The speakers describe a case involving a patient with diffuse ISR in the left main artery and LAD, treated with a combination of rotational atherectomy, balloon angioplasty, drug-coated balloons (DCB), and selective stenting to minimize layering. They emphasize lesion preparation strategies, including burr sizing and balloon choices (scoreflex, OPN, shockwave), to optimize outcomes and avoid multiple stent layers that increase morbidity.

Keywords

single-layer in-stent restenosis

drug-eluting stents

rotational atherectomy

drug-coated balloons

lesion preparation strategies