Mohammad Al Mutairi Author
Subjects of specialization
Affiliation
Instent-restenosis left main disease, Drug-eluting stent
Department of Cardiology, Kuwait Heart Center - Chest Diseases Hospital, Shuwaikh, Kuwait
Left main coronary artery instent restenosis can be treated by repeat percutaneous intervention with drug-eluting stent. We report a 53- year old patient with protected left main disease who presented with recurrent drug-eluting instent restenosis of distal left main/left circumflex ostium. The patient required treatment with a third layer of drug-eluting stent, using the single-stent approach. Acutely following the procedure, the patient developed severe angina associated with 2-mm ST segment depression in electrocardiographic leads V1-V4. Re-look angiography demonstrated a patent stent and normal appearance of the ostium of left anterior descending artery.
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Author(s): Baskaran Chandrasekar, Mohammad Al Mutairi and Khaled Al Merri
Excimer Laser Angioplasty in Calcified Coronary Lesions: Evidence of Calcium Ablation by Optical Coherence Tomography
During percutaneous coronary revascularization, calcified lesions can prove resistant to balloon expansion and cause stent underexpansion. We report on a patient with a calcified resistant lesion in whom adjunctive therapy with excimer laser enabled successful expansion of the stent. We document in this report using optical coherence tomography imaging,... view moreĀ»