title: Treatment of a coronary bifurcation lesion with drug-coated balloons: lumen enlargement and plaque modification after 6 months.
abstract: We report a male with a coronary bifurcation lesion in the mid circumflex artery (CX). After predilatation, the lesion was treated with two drug-coated balloons (DCB). Primary success in the posterolateral branch was good; however the CX lesion had a residual stenosis including a non-flow-limiting type A dissection. After 6 months, angiography showed slight lumen enlargement in both branches of the bifurcation. Intravascular ultrasound identified about 35 % atherosclerotic plaque load within the inner area of the bifurcation but more than 50 % concentric atherosclerotic plaque burden in the vessel areas proximal and distal to the DCB-treated area.
authors.affiliation: Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany. bruno.scheller@uks.eu
authors.forename: Bruno
authors.initials: B
authors.lastname: Scheller
authors.forename: Dieter
authors.initials: D
authors.lastname: Fischer
authors.forename: Yvonne P
authors.initials: YP
authors.lastname: Clever
authors.forename: Franz X
authors.initials: FX
authors.lastname: Kleber
authors.forename: Ulrich
authors.initials: U
authors.lastname: Speck
authors.forename: Michael
authors.initials: M
authors.lastname: Böhm
authors.forename: Bodo
authors.initials: B
authors.lastname: Cremers
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D058226:Plaque, Atherosclerotic / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome; D014463:Ultrasonography