Tag Archives: bifurcation

Introduction Dr Pitt O Lim, Consultant Cardiologist The use of drug-coated balloon (DCB) in de novo coronary artery disease has seeped through into routine practice in recent years.1 Largely unnoticed by the mainstream community, ignored by multi-national device companies and rarely discussed at international meetings. Its development actually parallels that of first-generation drug-eluting stent (DES) from the early 2000s; pioneered, propagated and instructed by expert German operators.2,3 Its efficacy is proven for in-stent re-stenosis (ISR),4 small vessel disease,5,6 high-risk bleeder,7 and where stenting might be avoided, such as in Takay

Case report Figure 1. A. Intravascular ultrasound (IVUS) showing a well-apposed stent in the first diagonal (D1) B. IVUS showing cup of Sideguard® slightly protruding into left anterior descending (LAD) (arrow) C. Optical coherence tomography (OCT) showing a well-endothelialised stent in the D1 D. OCT showing a migrated and well-endothelialised stent in the LAD A 43-year-old male with a past medical history of severe asthma and transient ischaemic attack presented with exertional angina and a normal electrocardiogram (ECG). Coronary angiography demonstrated minor plaque disease in the proximal left anterior descending artery (LAD) and ostial