Slides
Z-shaped Left Circumflex Artery Disease Treated with Balloon Anchoring
- Operator : Seung-Whan Lee
| Z-shaped Left Circumflex Artery Disease Treated with Balloon Anchoring |
| - Operator: Seung-Whan Lee, MD |
| Case Presentation |
| This 63-year old male was referred to this hospital for treatment of left circumflex (LCX) coronary artery disease. He is current smoker and had medical history of transient ischemic attack, hypertension. He was suffered for effort angina for 3 months and he underwent coronary angiography at other hospital a week ago. His coronary angiography showed left circumflex artery tight stenosis with severe tortuosity. Percutaneous coronary intervention was tried, but failed. |
| Baseline Coronary Angiography |
| Procedure |
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A8 Fr sheaths were inserted into the right femoral artery. At first, the 0.014 inch-180cm Sion Blue guide wire was inserted into the LAD for stabilizing the guiding catheter, and then 0.014-inch 180cm Sion guide wire was inserted into the OM br. (Figure 1). Balloon dilatation with a Sprinter legend 2.5 x 20mm was done at LCX up to 16 atm, smoothly (Figure 2). But, Xience Xpedition stent 3.5 x 33 was failed to pass the LCX due to severe angulation, another 0.014-inch 180cm Sion guide wire with microcatheter was inserted into the LCX proper for back-up support. Then Sprinter legend 2.5 x 20mm balloon was used for anchoring, then XienceXpedition 3.5 x 18 was advanced forward to the distal LCx lesion and successfully deployed (Figure 3, Figure 4). Another XienceXpedition 3.5 x 18 stent was overlapped at proximal LCX, smoothly (  Movie 4, Figure 5, Figure 6). The following coronary angiogram showed well expanded stents at proximal to distal LCX with good distal run-off flow without any complication ( Movie 5. Movie 6).
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