A novel strategy to overcome resistance in stent placement at lesion site after adequate predilatation.
Resistance was encountered in passing a 3 x 18 mm stent across a lesion in the proximal left anterior descending coronary artery. Successive changes in stent with repeated balloon dilatations did not succeed. Finally, a 9 mm stent was passed across the lesion and deployed at the site of maximal resistance. The 18 mm stent was then placed through this stent. A novel strategy to overcome resistance in the stent passage through the lesion after an adequate balloon predilatation is reported.
Jain
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Medizinische Klinik II, Universitatsklinikum Lubeck, Medizinische Universitat Zu Lubeck, Ratzburger Allee 160, D-23538 Lubeck, Germany. drdeepakjain@hotmail.com.
Tolg
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Katus
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Richardt
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D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D012008:Recurrence; D015607:Stents