Abstract
We report a male with a coronary bifurcation lesion in the mid circumflex artery (CX). After predilatation, the lesion was treated with two drug-coated balloons (DCB). Primary success in the posterolateral branch was good; however the CX lesion had a residual stenosis including a non-flow-limiting type A dissection. After 6 months, angiography showed slight lumen enlargement in both branches of the bifurcation. Intravascular ultrasound identified about 35 % atherosclerotic plaque load within the inner area of the bifurcation but more than 50 % concentric atherosclerotic plaque burden in the vessel areas proximal and distal to the DCB-treated area.
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Conflict of interest
Bruno Scheller has received lecture fees from B.Braun and Medtronic, travel support from Medtronic and B.Braun; he was named on a patent application of Charite university hospital, Berlin and is a shareholder of InnoRa GmbH, Berlin. Dieter Fischer has received lecture fees from B.Braun. Franz X. Kleber has received lecture fees and study grants from B.Braun. Ulrich Speck was named on a patent application of Charite university hospital, Berlin and is a shareholder of InnoRa GmbH, Berlin. Bodo Cremers has received lecture fees from B.Braun.
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Scheller, B., Fischer, D., Clever, Y.P. et al. Treatment of a coronary bifurcation lesion with drug-coated balloons: lumen enlargement and plaque modification after 6 months. Clin Res Cardiol 102, 469–472 (2013). https://doi.org/10.1007/s00392-013-0556-3
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DOI: https://doi.org/10.1007/s00392-013-0556-3