Lots of interesting abstracts and cases were submitted for TCTAP 2025. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-168
The True Believer
By Wei Juan Lim, Tjen Jhung Lee, Kumara Gurupparan, Shaiful Azmi Yahaya, Noor Muhammad Azlan Shah Atan
Presenter
Noor Muhammad Azlan Shah Atan
Authors
Wei Juan Lim1, Tjen Jhung Lee2, Kumara Gurupparan1, Shaiful Azmi Yahaya1, Noor Muhammad Azlan Shah Atan1
Affiliation
National Heart Institute, Malaysia1, Island Hospital Penang, Malaysia2,
View Study Report
TCTAP C-168
Coronary - DES/BRS/DCB
The True Believer
Wei Juan Lim1, Tjen Jhung Lee2, Kumara Gurupparan1, Shaiful Azmi Yahaya1, Noor Muhammad Azlan Shah Atan1
National Heart Institute, Malaysia1, Island Hospital Penang, Malaysia2,
Clinical Information
Patient initials or Identifier Number
Relevant Clinical History and Physical Exam
Patient is a 45 years old Malay gentleman who has underlying type 2 diabetes mellitus, hypertension and active smoker, admitted to district hospital for non-ST elevation myocardial infarction (NSTEMI) in July 2023.
Relevant Test Results Prior to Catheterization
Blood investigations showed LDL 1.5mmol/L with creatinine 64umol/L. Echocardiogram showed ejection fraction (EF) of 49% with mild mitral regurgitation.
Relevant Catheterization Findings
Coronary angiogram showed normal left main artery with mild disease at left circumflex artery. There were chronic total occlusion (CTO) of mid left anterior descending artery and mid right coronary artery.
Interventional Management
Procedural Step
Staged PCI to CTO RCA with short AL 1.0 guiding catheter, managed to cross lesion with Fielder XT-A and Corsair Pro XS, predilated lesion with semi-compliance (SC) balloon 1.0 x 5mm t hen SC 2.0 x 15mm. Further prepared lesion with scoring balloon 3.0 x 15mm and decided to DCB 3.0 x 40mm x2, DCB 3.0 x 30mm and DCB 3.0 x 20mm. Final result showed TIMI 3 flow with non-flow limiting dissections.
Staged PCI to CTO LAD with EBU 3.5 guiding catheter, managed to cross lesion with Fielder XT-A and Corsair Pro XS. Predilated lesion with SC 2.0 x 15mm and scoring balloon 2.5 x 15mm. Decided to DCB 2.25 x 40mm and DCB 2.5 x 30mm with good final results.
Staged PCI to CTO LAD with EBU 3.5 guiding catheter, managed to cross lesion with Fielder XT-A and Corsair Pro XS. Predilated lesion with SC 2.0 x 15mm and scoring balloon 2.5 x 15mm. Decided to DCB 2.25 x 40mm and DCB 2.5 x 30mm with good final results.
Case Summary
Lesion preparation is the key in drug coating balloon (DCB) angioplasty. DCB reduces incidence of restenosis in DES especially in bifurcation lesions. DCB is the future ideology of leave nothing behind.