Dr. Edoardo Verna
Dpt Cardiology
Ospedale di Circolo & Fondazione Macchi - University of Insubria, Varese, Italy
Stent Post-Dilatation of long
Coronary artery Lesions with a
“conic balloon”
56 years old male
Prior inferior wall STEMI -> PCI of RCA (BMS) 2003
Recurrent chest pain
“significant” Multivessel CAD progression
Baseline
Prox DES
Distal DES
After Stent
After Stent
Conic Vascular balloon
After post-dilatation with CVB
Conic Vascular balloon
Stent before post-dilation
MLA 5.3 mm2
distal
MLA 5.0 mm2
After Conic Vascular Balloon post-dilation
Proximal
MLA 7.0 mm2
MLA 9.8 mm2
Baseline
BA inflation
Coronary “wedge” pressure
After Stent “conic” post-dilation