PMC3915995_01
Left coronary artery angiogram. LMCA at the beginning of the first procedure
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The coronary angiography with intravascular ultrasound (IVUS) showed 80% obstruction in the medial part of the LMCA, 40% obstruction in the distal part of the LMCA and 90% stenosis in the proximal part (segment 6) of the left anterior descending (LAD) artery (Figure 1).
Left coronary artery angiogram. LMCA final result of the first procedure
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The final angiographic result was proper, which was confirmed in the control IVUS (Figures 2 and 3).
IVUS of LMCA after the first procedure
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The final angiographic result was proper, which was confirmed in the control IVUS (Figures 2 and 3).
Left coronary artery angiogram. LMCA before the second procedure
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The coronary angiography revealed 80% ostial stenosis of the LMCA, which was confirmed in IVUS (Figures 4 and 5).
IVUS of LMCA before the second procedure
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The coronary angiography revealed 80% ostial stenosis of the LMCA, which was confirmed in IVUS (Figures 4 and 5).
Left coronary artery angiogram. LMCA after the second procedure
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Amphilimus 4.5 mm x 12 mm, which was deployed from the ostial to the medial section of the LMCA, overlapping the previously implanted stent to the LMCA-LAD. A very good final result was achieved, which was confirmed in IVUS (Figures 6 and 7).
IVUS of LMCA after the second procedure
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Amphilimus 4.5 mm x 12 mm, which was deployed from the ostial to the medial section of the LMCA, overlapping the previously implanted stent to the LMCA-LAD. A very good final result was achieved, which was confirmed in IVUS (Figures 6 and 7).