Intravascular ultrasound-guided drug-coated balloon venoplasty for in-stent restenosis in pulmonary veins stenosis: a case report.

ABSTRACT:

Background

Pulmonary veins stenosis (PVS) after atrial fibrillation radiofrequency ablation is an uncommon complication. When it occurs, percutaneous treatment is the preferred approach. There is a lack of standardized procedures, and when stenting restenosis is relatively common.

Case summary

We present a young patient with recurrence of PVS after first percutaneous treatment. The recurrence of haemoptysis and dyspnoea after treatment in PVS allowed the diagnosis of significant stenosis again in our patient. In the Heart Team, we opted for a new percutaneous treatment, using intravascular ultrasound (IVUS) to optimize the final result.

Discussion

Nowadays, percutaneous approach is preferred and among percutaneous treatments for PVS, stenting has shown better results

SUBMITTER: Portero-Portaz JJ 

PROVIDER: S-EPMC8637799 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature