A Report of Successful Procedural, Clinical, and Angiographic Outcomes with a Tapered Stent of a Patient in Naturally Tapered Coronary Vessel

Rajendra Kumar Premchand, Yerra Shiv Kumar, Rajendra Kumar Premchand, Yerra Shiv Kumar

Abstract

In cases involving stenosis or occlusions in major parts of a long vessel, natural tapering of coronary vessels may create dilemma in deciding the optimal stent size during percutaneous coronary intervention. In this regard, tapered stents have been developed recently. Herein, we present a case of 67-year-old male patient with triple vessel disease including two tandem lesions in naturally tapered Left Anterior Descending (LAD) artery. The patient received a 3.0-2.5x60 mm Sirolimus-eluting BioMime Morph stent (Meril life Sciences, Gujarat, India) in the mid-distal LAD lesion along with conventional stent implantations in other two lesions. The procedure was successful and good coronary flow was obtained after revascularization. The patient remained asymptomatic thereafter. At one year, angiographic follow-up revealed good flow and no restenosis in the LAD vessel. We are of opinion that using tapered stents with decremented diameter may offer the advantages of excellent adaptation to vessel size, vessel tapering, and good apposition in patients with long coronary lesions in tapered vessels.

Keywords: BioMime Morph; Long lesion; Percutaneous coronary intervention.

Figures

[Table/Fig-1]:
[Table/Fig-1]:
a) Coronary Angiography image of the left anterior descending coronary artery proximal mild and mid two tandem lesion with D2 and D3 ostio-proximal tight lesion; b) Treated with 3.0-2.5 x 60 mm BioMime Morph sirolimus eluting tapered stent (Meril life Sciences, Gujarat, India); c) Angiogram of the left anterior descending coronary artery after revascularization; d) Angiographic follow-up at twelve months show no restenosis

Source: PubMed

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