Image in cardiology

Reliable angiographic evaluation by 64-slice computed tomography after trifurcation stenting of the left main coronary artery


Carlos van Mieghem
Carlos A.G. Van Mieghem*, MD; Georgios Sianos, MD, PhD; Bob Meijboom, MD; Eleni Vourvouri, MD, PhD; Patrick W. Serruys, MD, PhD; Pim J. de Feyter, MD, PhD
From the department of Cardiology (C.V.M., G.S., B.M., P.W.S., P.d.F.) and Radiology (C.V.M., B.M., E.V., P.J.F.), Erasmus MC, Rotterdam, The Netherlands.
A 39-year-old man underwent a complex percutaneous coronary intervention of the left main trifurcation due to unstable angina. Five paclitaxel-eluting stents were implanted successfully in the 3 major branches and left main trunk (Figure 1, panels A and B).

Figure 1. Two paclitaxel eluting stents (PES) were positioned simultaneously within the intermediate branch and circumflex artery (CX) together with balloon dilatation of the left anterior descending artery (LAD) to prevent plaque shift (panel A). The stent in the CX overlapped with a more distal stent in the same branch implanted at the start of the procedure. Due to dissection of the ...

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