Follow-up Result of Very Long Cypher implantation in a Diabetic Patient

- Operator : Bon-Kwon Koo

Follow-up Result of Very Long Cypher implantation in a Diabetic Patient

- Operator: Bon-Kwon Koo, MD, Korea / Myoung-Mook Lee, MD, PhD, Korea
Case presentation
A 68-year female patient was admitted for exertional chest pain (CCS class 3). Her coronary risk factors were hypertension, hyperlipidemia and diabetes mellitus.
Baseline coronary angiography
1. Coronary angiogram showed a diffuse LAD stenosis (Figure 1, Figure 2).
2. LCX and RCA were normal.
Procedure
After wiring the lesion with a 0.014 inch BMW guidewire, predilatation was performed with a 2.5mmX30mm Maverick (Boston scientific) balloon. Then, two 2.75mmX33 mm Cypher stents were implanted for the long LAD lesion. Post-stent adjunctive ballooning at the proximal part of the stents was performed to 3.4mm with a 3.0mmX20mm Stormer (Medtronic) balloon. Final angiogram (Figure 3, Figure 4) and IVUS showed a successful result.
Six-month follow-up angiogram showed a very excellent result without any late loss in the stented segment (Figure 5, Figure 6). Furthermore, side-by-side comparison of post-intervention and follow-up IVUS images revealed nearly no neointimal hyperplasia within the whole segments of implanted stents (Figure 7, Figure 8)

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