Bifurcation stenting with a dedicated biolimus-eluting stent: X-ray visual enhancement of the final angiographic result with "StentBoost Subtract".
A 51 year-old man underwent percutaneous coronary intervention of a significant "true" bifurcation lesion involving the proximal left anterior descendens (LAD) artery and an important first diagonal branch with a dedicated bifurcation stent, which is a conical self-expandable biolimus-eluting stent with a "flared" distal part allowing for optimal scaffolding of the carina of the bifurcation, and two additional sirolimus-eluting stents, deployed with the V-stenting technique, one in the LAD and one in the diagonal branch, in overlap with the distal part of the "flared" biolimus-eluting stent. An X-ray enhancing visualization technique, "StentBoost Subtract," was used to obtain an improved visualization of the stent in relation to the corresponding vessel lumen and revealed good expansion of all the stents and good apposition to the vessel wall.
Agostoni
Pierfrancesco
P
Antwerp Cardiovascular Institute Middelheim, AZ Middelheim, Antwerp, Belgium. agostonipf@gmail.com
Verheye
Stefan
S
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002317:Cardiovascular Agents / Q000008:administration & dosage*; D002932:Cineangiography; D003287:Contrast Media; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011857:Radiographic Image Interpretation, Computer-Assisted; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D020123:Sirolimus / Q000008:administration & dosage / Q000031:analogs & derivatives*; D015607:Stents
D002317:Cardiovascular Agents; D003287:Contrast Media; C518022:umirolimus; D020123:Sirolimus