Complex left main coronary stent restenosis treated through radial approach using a sheathless catheter

作者：Garcia Blas Sergio^*; Mainar Luis; Sanchis Juan; Nunez Julio

来源：Revista Portuguesa de Cardiologia, 2016, 35(10): 543.e1-543.e5.

DOI：10.1016/j.repc.2.015.17.009

• Coronary artery disease
• Stent
• Restenosis
• Left main coronary artery disease
• Percutaneous coronary intervention
• Sheathless guide catheter

A64-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 x 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 x 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.

• 出版日期2016-10