{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:02:07Z","timestamp":1790755327249,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008005","name":"Yonsei University College of Medicine","doi-asserted-by":"publisher","award":["6\u20102024\u20100188"],"award-info":[{"award-number":["6\u20102024\u20100188"]}],"id":[{"id":"10.13039\/501100008005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Carotid artery stenting for heavily calcified lesions (HCLs) poses significant therapeutic challenges. We report an 83\u2010year\u2010old male with symptomatic carotid stenosis of HCLs. Angiography demonstrated 91% stenosis with a minimum lumen diameter (MLD) of 0.4\u2009mm. Standard pre\u2010dilation resulted in a \u201cdog\u2010bone\u201d deformity (residual stenosis 74%, MLD 1.1\u2009mm), preventing stent delivery. As a rescue technique, a 3.0\u2009mm Wolverine coronary cutting balloon (Boston Scientific, Marlborough, MA, USA) was employed, successfully increasing the MLD to 2.4\u2009mm without inducing baroreceptor\u2010mediated hemodynamic instability. This luminal gain facilitated the successful delivery and deployment of a self\u2010expanding stent, followed by post\u2010dilation that achieved a final residual stenosis of 19%. A subacute in\u2010stent thrombus detected on post\u2010procedure day 4 resolved completely with intensified antithrombotic therapy, and at 3\u2010month follow\u2010up the patient had no recurrent stroke or in\u2010stent restenosis, with a modified Rankin Scale score of 2. Supported by a literature review, this case demonstrates that newer\u2010generation cutting balloons with improved crossing profiles offer a safe, effective rescue strategy for unyielding carotid HCLs, achieving essential luminal gain while minimizing procedural risks.<\/jats:p>","DOI":"10.1002\/ccd.70898","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:51:25Z","timestamp":1790754685000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rescue Cutting Balloon Angioplasty for Heavily Calcified Carotid Artery Stenosis: A Case Report and Narrative Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6582-0953","authenticated-orcid":false,"given":"Minyoul","family":"Baik","sequence":"first","affiliation":[{"name":"Department of Neurology Yongin Severance Hospital, Yonsei University College of Medicine Yongin\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongjin","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Neurology Yongin Severance Hospital, Yonsei University College of Medicine Yongin\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1169-6798","authenticated-orcid":false,"given":"Joonsang","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Neurology Yongin Severance Hospital, Yonsei University College of Medicine Yongin\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0156-9736","authenticated-orcid":false,"given":"Jinkwon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology Yongin Severance Hospital, Yonsei University College of Medicine Yongin\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2508800"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.5469\/neuroint.2017.12.2.77","article-title":"The Annual Trends Between Neurointerventional and Neurosurgical Procedures in Korea: Analysis Using HIRA Data From 2010 to 2016","volume":"12","author":"Suh S. H.","year":"2017","journal-title":"Neurointervention"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jvs.2007.09.047","article-title":"Angiographic Lesion Characteristics Can Predict Adverse Outcomes After Carotid Artery Stenting","volume":"47","author":"Sayeed S.","year":"2008","journal-title":"Journal of Vascular Surgery"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"120","DOI":"10.5469\/neuroint.2016.11.2.120","article-title":"Prediction of Prolonged Hemodynamic Instability During Carotid Angioplasty and Stenting","volume":"11","author":"Rhim J. 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