Patient History

  • Not available

Baseline Angiography

Baseline angiography of LM.

Baseline angiography of LM

Baseline HD IVUS

Baseline HD IVUS of LM performed at 2.5 mm/sec pullback speed. HD IVUS reveals a mildly calcified LM between Circumflex (CX) and Ramus. This was followed by two balloon dilations.

Baseline HD IVUS of LM
Baseline HD IVUS Measurements – MLA: 3.77 mm2

Pre-PCI Angiography (1)

1st  pre-PCI balloon dilation using 3.5 mm x 12.0 mm  NC Emerge™ PTCA Dilation Catheter1 at 8 ATM

Pre-PCI angiography after 1st pre-PCI balloon dilation

Pre-PCI HD IVUS (1)

HD IVUS measurements after the 1st  pre-PCI balloon dilation using NC Emerge™ PTCA Dilation Catheter1 – MLA: 3.951 mm2

Pre-PCI HD IVUS (1) measurements after 1st pre-PCI balloon dilation.

Pre-PCI Angiography (2)

2nd pre-PCI balloon dilation using Chocolate® PTA Balloon Catheter2 3.5 mm x 10.0 mm balloon at 12 ATM

Pre-PCI angiography (2) after 2nd pre-PCI balloon dilation

Pre-PCI HD IVUS (2)

HD IVUS measurements after the 2nd Pre-PCI balloon dilation using Chocolate® PTA Balloon Catheter2 – MLA: 5.16 mm2

Pre-PCI HD IVUS (2) measurements after 2nd pre-PCI balloon dilation

Post-PCI Angiography

LM is stented using 4.0 mm x 12.0 mm Promus PREMIER™Everolimus-Eluting Platinum Chromium Coronary Stent3. This was followed by balloon dilation using 4.5 mm NC Emerge™ PTCA Dilation Catheter2 at 14 ATM.

Post-PCI angiography, after balloon dilation – View 1
Post-PCI angiography, after balloon dilation – View 2

Conclusion

HD IVUS helped with sizing of LM and revealed the success of balloon dilation facilitating an optimal PCI result

Baseline Angiography

Baseline angiography of LM

Baseline HD IVUS

Baseline HD IVUS of LM

Baseline HD IVUS

Baseline HD IVUS Measurements – MLA: 3.77 mm2

Pre-PCI Angiography (1)

Pre-PCI angiography after 1st pre-PCI balloon dilation

Pre-PCI HD IVUS (1)

Pre-PCI HD IVUS (1) measurements after 1st pre-PCI balloon dilation.

Pre-PCI Angiography (2)

Pre-PCI angiography (2) after 2nd pre-PCI balloon dilation

Pre-PCI HD IVUS (2)

Pre-PCI HD IVUS (2) measurements after 2nd pre-PCI balloon dilation

Post-PCI Angiography

Post-PCI angiography, after balloon dilation – View 1

Post-PCI Angiography

Post-PCI angiography, after balloon dilation – View 2

Post-PCI HD IVUS

Post-PCI HD IVUS

Post-PCI HD IVUS

Post-PCI HD IVUS measurements at pull back speed of 2.5 mm/second - MLA: 11.2 mm2

Post-PCI HD IVUS

Post-PCI HD IVUS Measurements at pull back speed of 5.0 mm/second - MLA: 11.2 mm2

References
  1. NC Emerge™ is a trademark of Boston Scientific Corp.
  2. Chocolate® is a trademark of QT Vascular Inc.
  3. Promus PERMIER™ is a trademark of Boston Scientific Corp.