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Under-Expansion in the Circumflex (CX)

Patient History

  • 73 year old female
  • Hypertension
  • Hyperlipidemia
  • Osteoporosis
  • Right femur fracture from fall 4 days ago
  • Troponin positive

Baseline Angiography

Baseline angiography

Baseline angiography of CX

Post-PCI Angiography

CX was stented with 2.75 mm X 18.0 mm Resolute Integrity® Stent1

Post-PCI Angiography

Post-PCI HD IVUS (1)

Post-PCI HD IVUS reveals under-expanded stent

Post-PCI HD IVUS (1)
Post-PCI HD IVUS (1) measurements – MLA: 5.31mm2

Post-PCI HD IVUS (2)

A post-PCI balloon dilation is performed followed by HD IVUS

Post-PCI HD IVUS (2) post-PCI dilation
Post-PCI HD IVUS (2) measurements post-PCI dilation – MLA: 5.37mm2

Conclusion

HD IVUS reveals under expansion in the CX and facilitates optimal end result

Baseline Angiography

Baseline angiography of CX

Baseline HD IVUS

Baseline HD IVUS of CX

Baseline HD IVUS

Baseline HD IVUS measurements – MLA: 1.910 mm2

Post-PCI Angiography

Post-PCI Angiography

Post-PCI HD IVUS (1)

Post-PCI HD IVUS (1)

Post-PCI HD IVUS (1)

Post-PCI HD IVUS (1) measurements – MLA: 5.31mm2

Post-PCI HD IVUS (2)

Post-PCI HD IVUS (2) post-PCI dilation

Post-PCI HD IVUS (2)

Post-PCI HD IVUS (2) measurements post-PCI dilation – MLA: 5.37mm2

References
  1. Resolute Integrity® is a trademark of Medtronic, plc.