Long Taxus Implantation for Very Long Coronary Lesion

- Operator : Young-Hak Kim

Long Taxus Implantation for Very Long Coronary Lesion
- Operator: Young-Hak Kim, MD
History
A 76 year-old woman was admitted with effort chest pain for 6 months. Her coronary risk factors were diabetes mellitus and hypercholesterolemia. A coronary angiogram showed a significant diffuse narrowing from the proximal to middle LAD with heavy calcification (Image 1, Image 2).
Procedure
A 7F sheath was inserted through the right femoral artery, and the ostial left main was engaged with a 7F, XB 3.5 catheter. The LAD was wired with a 0.014 inch Floppy wire. Because of heavy calcification at the proximal LAD lesion, rotablating atherectomy was performed several times with 1.5 mm and 1.75 mm burr (Image 3, Image 4). Then, three Taxus stents (2.5 mm x 24 mm, 3.0 mm x 32 mm and 3.0 mm x 28 mm) were sequentially deployed from the distal to ostial LAD (Image 5, Image 6, Image 7). Final coronary angiogram showed a good result (Image 8, Image 9).
Follow up angiogram
The follow-up coronary angiography at 6 months showed an intermediate narrowing at the distal stented segment (Image 10, Image 11). But, target lesion revascularization was not performed because she had no ischemic symptoms.

Leave a comment

Sign in to leave a comment.