Document Detail


Jailed side branches: fate of unapposed struts studied with 3D frequency-domain optical coherence tomography.
MedLine Citation:
PMID:  21709576     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report the case of a 64-year-old man treated for stable angina with two bare-metal stents in the proximal-mid segment of the left anterior descending artery at the bifurcation with the first diagonal and second septal branches without final kissing balloon dilatation. Seven months later he complained of recurrent angina. Frequency-domain optical coherence tomography (OCT) with three-dimensional (3D) reconstruction was performed, showing a thick rim of neointimal proliferation at the ostium of both branches, causing severe restenosis. Deployment of a stent in a bifurcation main branch without opening the struts at the side-branch ostium may facilitate focal restenosis.
Authors:
Nicolas Foin; Nicola Viceconte; Pak H Chan; Alistair C Lindsay; Rob Krams; Carlo Di Mario
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-24
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
aCardiovascular Biomedical Research Unit, Royal Brompton & Harefield NHS Trust bDepartment of Bioengineering, Imperial College, London, UK.
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