{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T09:16:27Z","timestamp":1769764587930,"version":"3.49.0"},"reference-count":13,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,9,29]]},"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>An 81-year-old, functionally independent woman with a history of bypass surgery and a previous vein graft intervention presented to us with significant angina refractory to medical management. An urgent angiogram revealed severe in-stent restenosis (ISR) in the proximal stent of the right coronary artery graft. At the same time, multiple trials to predilate the tight ISR using various-sized non-compliant and cutting balloons were unsuccessful. During the second attempt the next day, rotational atherectomy was used for plaque modification as the lesion appeared fibrocalcific angiographically. A good imaging result was obtained after final dilatation with a drug-eluting balloon, and the patient also achieved immediate angina relief. Even though rotational atherectomy is contraindicated in vein graft interventions, it can be successfully used in selected cases when routine angioplasty techniques fail.<\/jats:p>","DOI":"10.1136\/bcr-2019-230907","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T10:29:26Z","timestamp":1572431366000},"page":"e230907","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Successful angioplasty of saphenous venous graft in-stent restenosis using rotational atherectomy"],"prefix":"10.1136","volume":"12","author":[{"given":"Udaya Prashant","family":"Ponangi","sequence":"first","affiliation":[{"name":"Cardiology, Townsville Hospital and Health Service, Townsville, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sugeet","family":"Baveja","sequence":"additional","affiliation":[{"name":"Cardiology, Townsville Hospital and Health Service, Townsville, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,10,30]]},"reference":[{"key":"2025082709324786000_12.10.e230907.1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90009-4"},{"key":"2025082709324786000_12.10.e230907.2","unstructured":"Maleunda . Saphenous Vein Graft Disease. In: Eeckhout J , ed. Part III, The PCR-EPACI Percutaneous Interventional Cardiovascular Medicine Textbook, 2019. https:\/\/www.pcronline.com\/eurointervention\/textbook\/pcrtextbook\/chapter\/?chapter_id=105"},{"key":"2025082709324786000_12.10.e230907.3","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/110.3.378"},{"key":"2025082709324786000_12.10.e230907.4","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/0167-5273(95)02445-3","article-title":"Rotational atherectomy of calcified ostial saphenous vein graft lesion with long term follow-up: a case report","volume":"52","author":"Abhyankar","year":"1995","journal-title":"Int J Cardiol"},{"key":"2025082709324786000_12.10.e230907.5","first-page":"53","article-title":"Rotational atherectomy in restenotic lesions at the distal saphenous vein graft anastomosis","volume":"36","author":"Cardenas","year":"1995","journal-title":"Cathet Cardiovasc Diagn"},{"key":"2025082709324786000_12.10.e230907.6","first-page":"E168","article-title":"Use of rotational atherectomy in the body of a saphenous vein coronary graft","volume":"21","author":"Don","year":"2009","journal-title":"J Invasive Cardiol"},{"key":"2025082709324786000_12.10.e230907.7","first-page":"120","article-title":"Rotational atherectomy for resistant anastomotic saphenous vein bypass graft stenosis","volume":"8","author":"Baron","year":"1996","journal-title":"J Invasive Cardiol"},{"key":"2025082709324786000_12.10.e230907.8","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/j.1540-8183.1999.tb00233.x","article-title":"Successful rotational atherectomy of Mid-Saphenous vein graft lesions","volume":"12","author":"BENREY","year":"1999","journal-title":"J Interv Cardiol"},{"key":"2025082709324786000_12.10.e230907.9","unstructured":"Oldroyd K , good R , Watkins S . Intravascular lithotripsy to treat a severely Under-Expanded coronary stent. Eurointervention 2018."},{"key":"2025082709324786000_12.10.e230907.10","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0002-9149(00)00834-1","article-title":"Effectiveness of rotational atherectomy in aortocoronary saphenous vein grafts","volume":"86","author":"Thomas","year":"2000","journal-title":"Am J Cardiol"},{"key":"2025082709324786000_12.10.e230907.11","doi-asserted-by":"crossref","first-page":"696","DOI":"10.4244\/EIJ-D-17-00473","article-title":"State of the art: evolving concepts in the treatment of heavily calcified and undilatable coronary stenoses \u2013 from debulking to plaque modification, a 40-year-long journey","volume":"13","author":"Barbato","year":"2017","journal-title":"EuroIntervention"},{"key":"2025082709324786000_12.10.e230907.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00382-9"},{"key":"2025082709324786000_12.10.e230907.13","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-302945"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:32:54Z","timestamp":1756312374000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":13,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,10,30]]},"published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1136\/bcr-2019-230907"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230907","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}