CORONARY - Adjunctive Procedures (Thrombectomy, Atherectomy, Special Balloons)
Oversized Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion and Non-dilatable-lesion in a Patient with Multivessel Disease Without Traditional Risk Factors: Single Centre Experience
I Gede Sumantra1, Pintoko Tedjokusumo1
Bandung Adventist Hospital, Indonesia1,
A 63-year-old female without a history of any traditional risk factors had anacute inferior NSTEACS in March of 2018. From the laboratory result, Fibrinogen was increased by 439 mg/dL. She underwent a PCI procedure to the RCA with 2 DES implanted.
The LAD was totally occluded and received collaterals from the RCA. Staging PCI was then planned to the LAD.
Here, we demonstrate that an oversized inflation balloon using a scoring balloon enables an adequate dilation for the treatment of a severely calcified plaque without conventional technique using rotational atherectomy. Having a stepwise strategy can be helpful to safely and successfully snatch victory from the jaws of defeat.