{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:09:15Z","timestamp":1788480555727,"version":"build-2803163510"},"reference-count":27,"publisher":"Radcliffe Medical Media Ltd","license":[{"start":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T00:00:00Z","timestamp":1690243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Interv Cardiol"],"abstract":"<jats:p>Patients with calcified, fibrotic native coronary vessels with prior suboptimal stenting outcomes are at major risk of stent thrombosis and could face serious consequences if untreated. In cases of multiple layers of under-expanded stents, the risk is multiplied. If conventional balloon post-dilatation is unsuccessful after stent implantation without proper lesion preparation, few interventional options remain. The authors report on a patient with prior numerous right coronary unsuccessful coronary interventions resulting in partially crushed multiple layers of stent material with critical lumen narrowing caused by stent under-expansion. Balloon angioplasty and stent rotational atherectomy (ROTA) had been attempted to overcome stent under-expansion but were unsuccessful. The authors investigated a new combination therapy of laser atherectomy (ELCA) and super high-pressure balloon (OPN non-compliant balloon) to treat single or multiple layers of stent with severe under-expansion due to fibrotic, calcified tissue surrounding the under-expanded stent structure.<\/jats:p>","DOI":"10.15420\/icr.2022.36","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T17:59:38Z","timestamp":1690394378000},"source":"Crossref","is-referenced-by-count":5,"title":["Combination of Laser Atherectomy and Super High-pressure Non-compliant Balloon to Treat Stent Under-expansion in Cases of Failed Interventional Options"],"prefix":"10.15420","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7844-9447","authenticated-orcid":false,"given":"Viktor","family":"Sasi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Medical Faculty, Division of Invasive Cardiology, Hungary Albert Szent-Gy\u00f6rgyi Clinical Center, University of Szeged, Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"Sz\u00e1nt\u00f3","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical Faculty, Division of Invasive Cardiology, Hungary Albert Szent-Gy\u00f6rgyi Clinical Center, University of Szeged, Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5540-3478","authenticated-orcid":false,"given":"Alexandru","family":"Achim","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Medicala 1 Clinic, Iuliu Ha\u021bieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania; Klinik f\u00fcr Kardiologie, Medizinische Universit\u00e4tsklinik, Kantonsspital Baselland, Liestal, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2011-0069","authenticated-orcid":false,"given":"Imre","family":"Ungi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical Faculty, Division of Invasive Cardiology, Hungary Albert Szent-Gy\u00f6rgyi Clinical Center, University of Szeged, Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8879-3927","authenticated-orcid":false,"given":"Albert","family":"Varga","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical Faculty, Division of Invasive Cardiology, Hungary Albert Szent-Gy\u00f6rgyi Clinical Center, University of Szeged, Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2474-5723","authenticated-orcid":false,"given":"Zolt\u00e1n","family":"Ruzsa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical Faculty, Division of Invasive Cardiology, Hungary Albert Szent-Gy\u00f6rgyi Clinical Center, University of Szeged, Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines. 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