Complex left main coronary stent restenosis treated through radial approach using a sheathless catheter.
A 64-year-old woman was admitted for non-ST elevation myocardial infarction. The coronary angiogram showed a severe stenosis in the left anterior descending artery (LAD) ostium. A 3.5 mm×18 mm everolimus-eluting stent was directly deployed in the left main and proximal LAD, with significant jailing of the circumflex (Cx) ostium. A 3.25 mm×11 mm everolimus-eluting stent was therefore deployed in the Cx using the T-stenting and small protrusion technique. One year later, the patient was readmitted for non-ST elevation myocardial infarction, and the coronary angiogram showed ostial restenosis of the Cx stent. Optical coherence tomography imaging confirmed the severity of ostial restenosis. Percutaneous coronary intervention by a radial approach was performed using a sheathless guide catheter.
Hospital Clínico Universitario de Valencia, Valencia, Spain. Electronic address: sergi1982@yahoo.es.
Sergio
S
García-Blas
Hospital Clínico Universitario de Valencia, Valencia, Spain.
Luis
L
Mainar
Hospital Clínico Universitario de Valencia, Valencia, Spain.
Juan
J
Sanchis
Hospital Clínico Universitario de Valencia, Valencia, Spain.
Julio
J
Núñez
D000368:Aged; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation*; D019233:Retreatment / Q000295:instrumentation; D016896:Treatment Outcome
Cateter conduzido sem bainha; Coronary artery disease; Doença arterial coronária; Doença coronária do tronco comum; Intervenção coronária percutânea; Left main coronary artery disease; Percutaneous coronary intervention; Reestenose; Restenosis; Sheathless guide catheter; Stent