Kazuhiro Dan, Yuya Takahashi, Kei Ichihashi, Masanori Teramura, Hiroki Ishihara, Takuya Maeda, Nobukiyo Taknaka, Tomohiko Teramoto
AsiaIntervention 2018;4:34, DOI: 10.4244/AIJ-D-17-00028
A 65-year-old man with stable angina pectoris was admitted for percutaneous coronary intervention. Coronary angiography (CAG) detected a left main artery (LM) true bifurcation lesion with the following stenotic percentages: 90%, distal LM; 90%, left circumflex artery (LCX); and 75%, left anterior descending artery (LAD) (Panel A). A 3.5×18 mm Resolute Integrity® drug-eluting stent (DES) (Medtronic Vascular, Santa Rosa, CA, USA) was implanted between the LM and the proximal LCX. CAG was performed after kissing balloon inflation using a 3.0×15 mm SeQuent Please® drug-coated balloon (DCB) (B. Braun, Melsungen, Germany) for the LAD and delivery balloon for the LCX (Panel B). Intravascular ultrasound showed a well-dilated stent in the LM (Panel D) and LCX (Panel F), and a high echoic intimal layer at the intimal surface, considered paclitaxel in the LAD (Panel E).
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