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Case Report
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| Long inflation to left main coronary artery with kissing balloon inflation by drug-coated balloon and perfusion balloon | ||||||
| Keisuke Nakabayashi1, Hisayuki Okada1, Hideki Saito1, Toshiaki Oka1 | ||||||
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1Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka 430-8558, Japan.
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| Nakabayashi K, Okada H, Saito H, Oka T. Long inflation to left main coronary artery with kissing balloon inflation by drug-coated balloon and perfusion balloon. Edorium J Cardiol 2016;3:1–5. |
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Abstract
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Introduction:
The advancement in innovation of devices and techniques has allowed percutaneous coronary intervention to be used in increasingly complex cases. However, in-stent restenosis involving a bifurcation lesion remains a problem in the drug-eluting stent era. Drug-coated balloons that administer drugs to vessel walls are effective in drug-eluting stent in-stent restenosis even at bifurcation lesions. It might be incompatible with proximal lesions because of the ischemia induced by the long inflation required for drug-coated balloon (approximately 30–60 sec).
Case Report: We described a 77-year-old male suffering from frequent in-stent restenosis of the left circumflex ostium that had been treated with a conventional balloon and a scoring balloon that has element to crack vessel wall. We treated this case with the novel approach consisting of long kissing balloon inflation at the left main coronary artery with a drug-coated balloon and perfusion balloon that guarantees the blood flow from left main to left descending artery, thereby preventing overt ischemia. He has been free from symptoms eight months after the procedure. Conclusion: Perfusion balloon could be a helpful option when we treat the in-stent restenosis of proximal and bifurcated lesion by a drug-coated balloon. | |
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Keywords:
Drug-coated balloon, Kissing balloon inflation, Left main trunk, Perfusion balloon
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Author Contributions
Keisuke Nakabayashi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Hisayuki Okada – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hideki Saito – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Toshiaki Oka – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Keisuke Nakabayashi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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