Cardiology Casebook of IVUS/OCT with Videos

Imaging in Stent Failure

Researchers & Contributors

Dr. Roopali Khanna

Additional Professor

Department of Cardiology

SGPGIMS

Lucknow

Dr. Harshit Khare

Assistant Professor

Department of Cardiology

SGPGIMS

Lucknow

Case Videos

Video 1

A 54-year-old lady underwent PCI to RCA. Angiogram showed totally occluded stent

Video 2

IVUS showing proximal reference segment

Video 3

IVUS showing distal reference segment

Video 4

Significant under-expansion of the stent in mid portion

Video 5

A 48-year-old gentleman underwent PCI to LAD. Angiogram showed totally occluded stent

Video 6

OCT evaluation showed distal stent edge dissection extending to media

Video 7

Angiogram after additional stent implantation

Video 8

A 72-year-old gentleman underwent PCI to LAD. Angiogram showing totally occluded stent in proximal LAD

Video 9

IVUS showed neoatherosclerosis causing late loss with significant malapposition between 6–9 o’clock position

Video 10

A 64-year-old gentleman had PCI to proximal and mid LAD. Angiogram showed totally occluded proximal LAD stent

Video 11

IVUS pullback from distal LAD. Distal in-segment showed echolucent plaque with lumen compromise

Video 12

In-stent area

Video 13

Neoatherosclerosis with calcification. Proximal in-segment had positive remodelling with progression of lesion

Video 14

A 72-year-old gentleman had PCI with a provisional side branch stenting strategy from LM to LAD. Angiogram showed critical narrowing due to ISR at LAD ostium

Video 15

OCT evaluation showed neoatherosclerosis with cholesterol crystals and macrophages

Video 16

Lesion preparation with scoring balloon and subsequent application of drug-coated balloon

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