Slides
Treatment Using Drug Eluting Balloon for In-Stent Restenosis
- Operator : Alan C. Yeung
| Treatment Using Drug Eluting Balloon for In-Stent Restenosis |
| - Operators: Alan C. Yeung, MD, Joo-Young Yang, MD |
| Case Presentation |
| A 64 year-old man was admitted with minimally effort chest pain. About three years ago, he underwent PCI at mid LAD with DES (Coroflex please) in another hospital. Two years ago, he experienced ISR at LAD stent which was treated by Endeavor-Resolute stent. His coronary risk factors were hyperlipidemia and ex-smoker. The physical examination was normal. The ECG was unremarkable. Treadmill test and thallium SPECT were not done. Syntax score was 7. |
| Baseline coronary angiography |
1. The left coronary angiogram showed diffuse in-stent restenosis at proximal to mid LAD ( Movie 1, Movie 2).2. The right coronary angiogram was near normal. |
| Procedure |
| An 8 Fr sheath was inserted through right femoral artery and the left coronary ostium was engaged with a 7Fr XB 3.5 catheter with side hole. A 0.014 inch Runthrough wire was inserted into the LAD. In-stent restenosis at proximal to middle LAD was dilated with a cutting balloon 3.0 x 10mm and a Dura Star balloon 3.5 x 15mm, sequentially. And additional balloon angioplasty using drug-eluting balloon (a SeQuent Please 3.5 x 30mm) was done. Final left coronary angiogram showed no residual in-stent stenosis ( Movie 3, Movie 4). |
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