CRT-200.17 Optimal Aorto-ostial Lesion Treatment With Flash Ostial Balloon Is Feasible and Safe

Sanghvi, Kintur; Morris, T; Kovach, Richard

doi:10.1016/j.jcin.2015.12.049

Cited by 2 publications

(2 citation statements)

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“…Due to the similarity with the natural anatomy of the funnel-shaped ostium, the Flash ostial system is used to maintain the position of the catheter at the aorto-ostial junction and to achieve excellent stent wall apposition post-dilatation in technically challenging ostial lesions. The Flash ostial system has previously been used for ostial lesions occurring after coronary artery bypass grafting 12 and aorto-ostial lesions with minimal complications 13 . This patient presented with cardiogenic shock and was found to have mild rejection on endomyocardial biopsy and CAV on CCTA and coronary angiography, verified on IVUS.…”

Section: Discussionmentioning

confidence: 99%

Coronary allograft vasculopathy managed by Flash ostial balloon in a pediatric patient

Desai

Mathbout

Agarwal

et al. 2021

gcsp

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Coronary allograft vasculopathy (CAV) is the most significant cause of morbidity and mortality in heart transplant recipients. Inflammation and endothelial dysfunction caused by graft rejection and viral infections leads to a combination of circumferential intimal fibromuscular hyperplasia, atherosclerosis, and inflammation affecting all layers of the vessel wall. Though obstructive CAV is often asymptomatic, posing a diagnostic challenge in post-transplant patients, early diagnosis and treatment aid faster recovery and improved outcomes. The role of percutaneous coronary intervention in the treatment of CAV is unknown and not well studied in the pediatric population. We present a first-in-human case of ostial left main coronary artery disease managed with flaring of the ostial coronary stent using a Flash ostial balloon in a pediatric patient with history of an orthotopic heart transplant.

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Section: Discussionmentioning

confidence: 99%