Treatment of a coronary bifurcation lesion with drug-coated balloons: lumen enlargement and plaque modification after 6 months

被引:23
作者
Scheller, Bruno [1 ]
Fischer, Dieter [2 ]
Clever, Yvonne P. [1 ]
Kleber, Franz X. [3 ,4 ]
Speck, Ulrich [5 ]
Boehm, Michael [1 ]
Cremers, Bodo [1 ]
机构
[1] Univ Saarlandes Kliniken, Innere Med Klin 3, Homburg, Germany
[2] Univ Klinikum, Dept Kardiol & Angiol, Munster, Germany
[3] Charite, D-13353 Berlin, Germany
[4] Cardio Ctr, Berlin, Germany
[5] Charite Univ Klinikum, Berlin, Germany
关键词
Drug-coated balloon; Coronary bifurcation; Plaque regression; SIROLIMUS-ELUTING STENT; PACLITAXEL; RESTENOSIS; ANGIOPLASTY; CATHETER;
D O I
10.1007/s00392-013-0556-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a male with a coronary bifurcation lesion in the mid circumflex artery (CX). After predilatation, the lesion was treated with two drug-coated balloons (DCB). Primary success in the posterolateral branch was good; however the CX lesion had a residual stenosis including a non-flow-limiting type A dissection. After 6 months, angiography showed slight lumen enlargement in both branches of the bifurcation. Intravascular ultrasound identified about 35 % atherosclerotic plaque load within the inner area of the bifurcation but more than 50 % concentric atherosclerotic plaque burden in the vessel areas proximal and distal to the DCB-treated area.
引用
收藏
页码:469 / 472
页数:4
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