OCT guidance for evaluation and treatment of the long-term consequences of inadequate ostial left circumflex stenting

DOI: 10.4244/EIJ-D-23-00552

Dejan Milasinovic
Dejan Milasinovic1,2, MD; Salvatore Brugaletta3, MD, PhD; Dario Jelic1, MD; Goran Stankovic1,2, MD, PhD
1. Department of Cardiology, University Clinical Centre of Serbia, Belgrade, Serbia; 2. Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 3. Hospital Clínic, Cardiovascular Clinic Institute, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain
The optimal treatment of coronary lesions affecting circumflex (CX) or left anterior descending (LAD) ostia remains a subject of debate, as stent implantation is associated with competing risks of inadequate plaque coverage and excessive stent protrusion into the left main (LM)1.

We show an example of ostial CX stent implantation in a 54-year-old male patient presenting with acute coronary syndrome (Figure 1A, Figure 1B, Moving image 1A, Moving image 1B). After 1 year, the patient presented with chest pain. Regional wall motion abnormalities were reported on a stress echocardiogram, mainly of the septum and of the lateral wall of the ...

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