|- Operator: Myeong-Ki
|A 75 year-old man was admitted with resting chest
pain for 1 month. His coronary risk factors were hypertension and smoking.
Echocardiography showed normal LV function without regional wall motion
abnormality. A coronary angiogram showed a significant diffuse narrowing
from the ostial to middle LAD and a tubular narrowing at the obtuse marginal
2). Right coronary angiogram was near normal.
|A 7F sheath was inserted through the right femoral
artery, and the left coronary ostium was engaged with a 7F, JL 3.5 catheter.
The LAD was wired with a 0.014 inch Floppy wire. A 20 mm Black-Hawk balloon
was used to predilate the lesion at the distal LAD (upto 2.73 mm/13 atm)
and middle LAD (upto 2.73 mm/14 atm). Then, a 3.0 mm x 23 mm Cypher stent
was positioned at the middle LAD and deployed at 20 atm(3.3 mm) (Image
3). Two other Cypher stents (3.0 mm x 23 mm and 2.5 mm x 33mm) were
deployed at the proximal and distal LAD (Image
5). For complete lesion coverage at the ostial LAD, the last Cypher
stent (3.5 mm x 18mm) was implanted (Image
6). Final angiogram showed a good result (Image
|Follow up angiogram
|Fortunately, all the stented segments were patent
at 6-month follow-up angiogram (Image