Abstract
Long diffuse coronary artery stenosis is often encountered in elderly patients. Many of these patients have multivessel disease, previous myocardial infarction, diabetes and impaired left ventricular function. Due to a combination of diffuse disease, small caliber vessels and often heavy calcification, bypass graft surgery for such vessels is associated with poor short and long-term outcomes. Current approaches include the use of long balloons, rotational atherectomy, laser angioplasty, and a combination of primary or bail-out spot stenting.
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