The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Image in cardiology

Use of three-dimensional optical coherence tomography to verify correct wire position in a jailed side branch after main vessel stent implantation

EuroIntervention 2011;7:528-529. DOI: 10.4244/EIJV7I4A84

1. Department of Cardiology, Aarhus University Hospital, Skejby, Denmark; 2. Division of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
A 59-year-old man with ST-segment elevation myocardial infarction was admitted for primary percutaneous coronary intervention due to a severe stenosis in the proximal left anterior descending artery (LAD) at the bifurcation of the first diagonal branch (Medina type 1,1,1) with TIMI flow 2 in both branches (Panel A). After thrombus aspiration and pre-dilatation of the side branch and the main vessel, the LAD was stented with a 3.0×23mm sirolimus-eluting stent (Cypher Select+; Cordis, Miami Lakes, FL, USA), resulting in severe ostial side branch (SB) stenosis (Panel B). To facilitate SB access, proximal optimisation technique (POT)1 was performed by dilating the proximal segment ...

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