Document Detail


Double-barrel stenting of distal left main stenosis in a patient with acute coronary syndrome: intravascular ultrasound and optical coherence tomography follow-up at six months.
MedLine Citation:
PMID:  20847980     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 58-year-old man presented with frequent episodes of angina at rest. A diagnosis of anterior non-ST elevation myocardial infarction was made. Coronary angiography performed on the day of admission revealed a significant stenosis (50% to 60%) of the distal left main stem (LMS) extending to the ostia of the left anterior descending and left circumflex arteries. Coronary artery bypass graft surgery was advised; however, the patient consistently declined this option. Kissing balloon predilation was performed at the LMS bifurcation, and two stents of the same diameter and length (4.0 mm × 18 mm) were simultaneously deployed at the same high pressure (18 atm) spanning the entire length of the LMS, and extending into the left anterior descending and left circumflex arteries beyond the bifurcation lesion. Six months later, intravascular ultrasound and optical coherence tomography revealed neointimal hyperplasia, especially in the artificial septum.
Authors:
Anastasia Damelou; Periklis Davlouros; Vasileios Karantalis; Dimitrios Alexopoulos
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:    2010 Aug-Sep
Date Detail:
Created Date:  2010-09-17     Completed Date:  2010-10-15     Revised Date:  2011-08-03    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e282-5     Citation Subset:  IM    
Affiliation:
Cardiology Department, Patras University Hospital, Rion, Patras, Greece. ndamelou@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / diagnosis*,  surgery*,  therapy
Angioplasty, Balloon, Coronary
Coronary Vessels* / pathology
Follow-Up Studies
Humans
Male
Middle Aged
Stents*
Tomography, Optical Coherence*
Treatment Outcome
Ultrasonography, Interventional*
Comments/Corrections

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