PMC9558135_01
(A) Pre- intervention image. Coronary angiogram showed severe proximal left anterior descending artery stenosis (red arrowhead). (B) Post- intervention image. Post- stenting coronary angiogram.
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F1
A coronary angiogram was performed, which showed severe stenosis at the proximal left anterior descending artery (Figure 1A). A 4.0 mm non-compliant balloon was used for further pre-dilatation of the stenosis, followed by stenting with a 4.0 mm x 38 mm drug eluting stent (Figure 1B).
(A) Intravascular ultrasound (IVUS) of the narrowest lesion site showing a fibrotic plaque (red arrowhead). (B) IVUS post-stenting with fair stent expansion without stent edge dissection or stent malapposition (blue arrowhead).
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F2
A fibrotic plaque was identified with a length of around 35 mm (Figure 2A). Post-stenting intravascular ultrasound showed an adequate landing zone and stent expansion without stent edge dissection or stent malapposition (Figure 2B).