PMC4631747_01
ECG at time of admission
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The ECG showed an ST-segment elevation in I, aVL and V6-V9 (Figure 1).
A - Coronary angiogram showed the left anterior descending and left circumflex artery thrombotic mid stent occlusion (white arrow). B - Coronary angiogram showed no residual stenosis and relatively good distal flow in two vessels
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F0002
Terumo; 16 atm) to postdilate the stent and deployed a 3.0 x 18 mm Firebird stent at 16 atm of pressure to cover the previous stent in LCX, giving a good end result (Figure 2 B). The patient was rehospitalized for heart failure 1 month after discharge.
A - Coronary angiography showed peri-stent contrast staining at the site of LAD DES (white arrow). B - IVUS showed late stent malapposition in the LAD (white arrow). C - Coronary angiography showed peristent contrast staining at the site of LCX DES (white arrow). D - IVUS showed late stent malapposition in the LCX (white arrow)
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F0003
Scientific, USA) of the lesions demonstrated late stent malapposition, with positive coronary vessel remodeling around the stent in LAD and LCX (Figure 3). Subsequently, we used a 3.0 x 10 mm balloon (Hiryu,