https://scholars.lib.ntu.edu.tw/handle/123456789/187279
Title: | Inter-lacing OF STENTS: 13-MONTH FOLLOW-UP BY INTRAVASCULAR ULTRASOUND AFTER PRIMARY SIMULTANEOUS KISSING STENTING | Authors: | HSIN, HO-TSUNG LIAU, CHIAU-SUONG CHU, SHU-HSUN |
Keywords: | kissing stent;IVUS;coronary artery;bifurcation | Issue Date: | 2007 | Journal Volume: | v.23 | Journal Issue: | n.4 | Start page/Pages: | 277-281 | Source: | ACTA CARDIOLOGICA SINICA | Abstract: | A fifty-four-year old man suffered from ST-segment elevation myocardial infarction of Killip class I over the anterior wall. The emergent coronary angiogram showed true bifurcation lesion of Duke type D over the mid-LAD and 2(nd) diagonal branch. The stenting strategy was made more difficult by discrepant diameters of the mid and distal LAD, which hampered cullote- or T-stenting technique. Simultaneous kissing stenting was successfully performed in the scenario of acute myocardial infarction. Angiographic follow-up showed minimal in-stent restenosis of both stents. Interestingly , the IVUS disclosed that the "double-barrel" portion of the stents had become inter-laced, not in the expected pattern of "back-to-back". The interesting picture could be explained by double-helix configuration of the double-barrel portion of the stents, and the innate inward driving- force originating from negative remodeling of the accommodating vessel. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/88217 |
Appears in Collections: | 醫學系 |
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