This case report describes the use of rotational atherectomy and stent implantation in a pediatric patient with Kawasaki disease.
Supports procedural feasibility in rare pediatric Kawasaki cases; leaves open need for safety and outcome data.
Percutaneous transluminal coronary rotational atherectomy (PTCRA) is a coronary intervention in adults with coronary arterial stenosis caused by heavily calcified atheroma.1 Kawasaki disease (KD) is one of the most common forms of pediatric systemic vasculitis.2 Despite receiving intravenous immunoglobulin therapy, coronary arterial lesions occur in 5–20% of patients with acute-stage KD.2,3 Coronary lesions of KD may persist and even progress to stenosis or obstruction.2 One study reported that aneurysms larger than 8 mm (so-called “giant aneurysms”) did not regress during a 30-year follow-up period.
No takes yet. Share an insight, caveat, or question.
Wang et al. (2015) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: