Slides
Multiple Vessel Coronary Intervention with Drug-Eluting Stents
- Operator : Seung-Jung Park
Multiple Vessel Coronary Intervention with Drug-Eluting Stents |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 56 year-old woman presented with a exertional chest pain for 6 months . She had diabetes mellitus and hypercholesterolemia as coronary risk factors. Cardiac enzymes including CK-MB and Troponin I were in normal range on admission. Echocardiography showed normal LV ejection fraction of 59% with regional wall motion abnormalities in left anterior descending artery (LAD) and right coronary artery (RCA) territories. |
Baseline Coronary Angiography |
Baseline Coronary Angiography |
Procedure |
An 8F sheath was inserted through the right femoral
artery and the RCA was engaged with an 8F JR 3.5 catheter. A 0.014 inch
guidewire was placed into the RCA. Predilatation was performed with a
2.5 X 20mm Black-Hawk balloon at 6 atm (2.55mm). Then, a 3.0 X 33 mm and a
3.5 X 13 mm Cypher stents were implanted consecutively at the RCA lesions
with overlapping at maximal pressure of 18 atm (3.84mm). The left coronary
ostium was engaged with an 8F JL 3.5 catheter. A 0.014 inch Neos guide
wire was placed into the LAD. Predilatation was performed with a 2.5 X 20
mm Black Hawk balloon at 16 atm (2.77mm). Then, a 2.75 X 33mm and a 3.0
X 33 mm Cypher stents was implanted from the middle LAD to the LM with
overlapping. Finally, the distal LCX lesion was treated a 2.75 X 33mm Cypher
stent implantation at 20 atm (3.05mm). Final angiogram showed good results
(Figure
4, Figure
5, Figure
6, Figure
7, Figure
8). |
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