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 HD IVUS

Baseline HD IVUS of CX

Post-PCI Angiography

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

Post-PCI HD IVUS (1)

Post-PCI HD IVUS reveals under-expanded stent 

Post-PCI HD IVUS (2)

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

Conclusion

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

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