Abstract
Restenosis after percutaneous intervention in the left main coronary artery may present as sudden cardiac death. Although drug-eluting stents have demonstrated promising results, there remains the question about appropriate length of the left main artery to be covered with the stent. We describe a patient who received two drug-eluting stents with the balloon crushing technique in the distal left main coronary artery. Three months later, this patient presented with a new lesion in the segment of the left main artery not covered with stent, but instead at the site where the balloon was inflated in the initial procedure.
MeSH terms
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Angioplasty, Balloon, Coronary / instrumentation*
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Angioplasty, Balloon, Coronary / methods
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Cardiac Catheterization / methods
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Coronary Angiography / methods
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Coronary Artery Bypass / adverse effects*
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Coronary Artery Bypass / methods
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Coronary Restenosis / diagnostic imaging
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Coronary Restenosis / etiology
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Coronary Restenosis / prevention & control*
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Coronary Stenosis / complications
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Coronary Stenosis / diagnosis
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Coronary Stenosis / drug therapy*
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Coronary Stenosis / surgery*
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Coronary Vessels
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Drug Delivery Systems / methods*
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Female
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Humans
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Middle Aged
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Retreatment
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Risk Assessment
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Severity of Illness Index
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Sirolimus / pharmacology
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Stents*
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Treatment Outcome