Author + information
- Nikhil Parchure1
Patient initials or identifier number
Relevant clinical history and physical exam
A 48 years old gentleman presented with acute inferior MI within 15 min of chest pain.
Previous MI: No
Previous CABG: No
Type 2 DM: No
Previous PCI: No
LCx was treated and LAD PTCA staged.
Relevant catheterization findings
Lesion at LCx and OCT imaging done for LAD.
* OCT imaging of LAD to assess the lesion type
* Pre dilatation of LAD with balloon
* Absorb in mid LAD and Proximal LAD with overlapping done
* Angiograficaly the results were acceptable
* OCT imaging done to analyze the apposition of struts
* Dissection noted at distal end of distal BVS
* It showed that the dissection can be missed visually if imaging not done
* Dissection covered with another Absorb BVS at distal LAD
* Post dilatation done with NC balloon
* Final OCT imaging done with excellent results
• Seeing is Believing. How?
• Stent Malapposition and Edge Dissections are not visibleangiographically
• Extent of Disease especially softplaque is not visible angiographically
• Sizing of Stent is not accurate onangiographic basis alone
• OCT and Absorb stent are natural allies