Slides
BRS Stenting at Diffuse Long Lesion
- Operator : Seung-Jung Park
BRS Stenting at Diffuse Long Lesion |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 64 year-old male patient was hospitalized for effort chest pain started 6 months ago. He had a history of previous smoking, dyslipidemia and diabetes. The ECG showed normal sinus rhythm without significant abnormality. Echocardiography revealed no regional wall motion abnormality with normal left ventricular systolic function. |
Baseline Coronary Angiogram |
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Procedure |
A 6 Fr sheath was inserted thorough the right radial artery and left coronary artery was engaged with a 6 Fr JL4 guiding catheter. The wire, 0.014-inch Sion 180 cm was inserted into the LAD. Pre-dilatation was performed with a SAPPHIRE NC 2.5 x 15 mm balloon and Absorb GT1 BRS 2.5 x 23 mm was deployed at distal LAD lesion. Post-dilation with SAPPHIRE NC 2.5 x 15 mm upto 28 atm (2.75 mm) was done. ( Movie 4) Right coronary artery was engaged with a 6 Fr JR 4 guiding catheter. The wire, 0.014-inch Sion 180 cm was inserted into the RCA. Pre-dilation was performed with a SAPPHIRE NC 2.5 x 15 mm balloon ( Movie 5). And then Absorb GT1 BVS 3.5 x 28 mm and Absorb GT1 BVS 3.0 x 28 mm were successfully deployed at the diffuse RCA lesion with minimal overlap. ( Movie 6, Movie 7) After stenting, we performed additional balloon angioplasty with Raiden 3 NC 3.5 x 20 mm and SAPPHIRE NC 4.0 x 15 mm balloons at the proximal to mid RCA. ( Movie 8, Movie 9) Final angiogram and IVUS showed that the procedure was successful. ( Movie 10) Appendix IVUS image of pre-ballooning ( Movie 11), post stent implantation ( Movie 12) and final image ( Movie 13) of RCA. |
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