A Combination of Drug-Eluting Stents and Bioresorbable Vascular Scaffolds in the Treatment of Multivessel Coronary Artery Disease
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 3
Abstract
Optimal management of multivessel coronary artery disease can be complex. We report a 67-year-old male patient who was admitted to the Padua University Hospital, Padua, Italy, in 2014 with a non-ST-elevation myocardial infarction. Coronary angiography showed diffuse multiple sub-occlusive lesions of the proximal and distal left coronary vessels involving a long segment of the vessel. On intravascular ultrasonography (IVUS), the left main artery was moderately diseased with critically stenotic and calcifed branch ostia. A successful percutaneous coronary intervention using the T-stenting and small protrusion technique with two drug-eluting stents (DES) was performed on the left main artery and its main branches. Two bioresorbable vascular scaffolds were also deployed in overlap at the mid to distal segments of the left anterior descending artery and overlapping a previous DES at the proximal segment. Te full expansion and apposition of the struts and scaffolds to the vessel wall without residual stenosis was confrmed by IVUS.
Authors and Affiliations
Ahmed Al-Mamary| Dipartimento di Scienze Cardiologiche Toraciche e Vascolari, Università degli studi di Padova, Padova, Italy, Filippo Zilio| Dipartimento di Scienze Cardiologiche Toraciche e Vascolari, Università degli studi di Padova, Padova, Italy, Massimo Napodano| Dipartimento di Scienze Cardiologiche Toraciche e Vascolari, Università degli studi di Padova, Padova, Italy
Keywords
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