Six-Month Follow-Up of In-Stent Restenosis Treated with Drug-Coated Balloon Using Optical Coherence Tomography
Researchers & Contributors
Manish Kumar Sharma
Senior Consultant
Department of Cardiology
Sir Ganga Ram Hospital
New Delhi
Arun Mohanty
Senior Consultant
Department of Cardiology
Sir Ganga Ram Hospital
New Delhi
Manikanth Vivek
DNB Resident
Department of Cardiology
Sir Ganga Ram Hospital
New Delhi
Ashish Kumar Jain
Associate Consultant
Department of Cardiology
Sir Ganga Ram Hospital
New Delhi
Case Videos
Video 1A
Coronary angiography showing mid 90–95% in-stent restenosis of the left anterior descending artery – Run A.
Video 1B
Coronary angiography showing mid 90–95% in-stent restenosis of the left anterior descending artery – Run B.
Video 2A
CAG: Mid-LAD 90–95% ISR and 30–40% plaquing in mid-RCA – Run A.
Video 2B
CAG: Mid-LAD 90–95% ISR and 30–40% plaquing in mid-RCA – Run B.
Video 3A
Predilation of lesion using a Pipit NC 2.5 × 15 mm balloon at 12–14 atm for 15 seconds – Run A.
Video 3B
Predilation of lesion using a Pipit NC 2.5 × 15 mm balloon at 12–14 atm for 15 seconds – Run B.
Video 4
LAD follow-up PCI OCT-run: mild stent underexpansion, calcified neoatherosclerosis, MLA ~0.74 mm².
Video 5A
Plaque modification with Wolverine cutting balloon 3 × 10 mm at 12–14 atm for 15 seconds – Run A.
Video 5B
Plaque modification with Wolverine cutting balloon 3 × 10 mm at 12–14 atm for 15 seconds – Run B.
Video 6A
Dilatation using Sapphire NC 3.5 mm balloon at 14 atm for 15 seconds – Run A.
Video 6B
Dilatation using Sapphire NC 3.5 mm balloon at 14 atm for 15 seconds – Run B.
Video 7
Post cutting & NC LAD follow-up PCI OCT-run showing improved MLA of ~5.2–7.1 mm².
Video 8A
Paclitaxel drug-coated balloon (Agent 3.5 × 30 mm) deployment at 8 atm for 60 seconds – Run A.
Video 8B
Paclitaxel drug-coated balloon (Agent 3.5 × 30 mm) deployment at 8 atm for 60 seconds – Run B.
Video 9
Post-DEB LAD follow-up PCI OCT-run: adequate previous stent expansion, no edge dissection, improved MLA.
Video 10
Final angiogram showing good result with TIMI-III flow.
Video 11
CAG performed after 6 months.
Video 12
6-month post-DCB LAD follow-up OCT-run: neointimal hyperplasia, no edge dissection, adequate MLA.