BAIL-OUT STENTING FOR FLOW LIMITING DISSECTIONS AFTER ROTATIONAL ATHERECTOMY IN COMPLEX CORONARY LESIONS

Flow limiting dissection may occur after rotational atherectomy and re quire urgent management. Important questions about the safety and effe ctiveness of bail-out stenting in this setting remain to be answered. We have observed that emergent stenting after rotational atherectomy c an be accomplished successfully in most patients, high pressure stent dilatation is both necessary and well tolerated, and lesion debulking facilitates movement of stents into diseased arterial segments. (C) 19 96 Wiley-Liss, Inc.