PMC4372637_01
Right anterior oblique caudal view of left coronary arteries. This image shows proximal in-stent stenosis of the left anterior descending artery. Arrows indicate the edge of previous stents
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F0001
Coronary angiography showed diffuse in-stent 70-75% stenosis in the LAD (Figure 1).
Cutting balloon dilatation (A) and resorption of in-stent plaque after pre-dilatation (B)
PWKI-11-24638-g002.jpg
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F0002
After crossing of the lesion, predilatation was performed with 3.5 x 15 cutting balloon at the maximal proposed pressure (Figure 2; note dense and diffuse plaque burden resisting the predilatation), and a 3.5 x 18 BVS (Absorb,
BVS deployment (A) and final image (B). Note that the final image of the proximal left anterior descending artery resembles the image taken after cutting balloon dilatation
PWKI-11-24638-g003.jpg
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F0003
Abbot Vascular) was deployed, also with maximal proposed pressure. After post dilation of BVS with a non-compliant balloon, the procedure was terminated with a successful result (Figure 3).