Stenting of a patient with long coronary artery lesion under the control of optical coherence tomography (clinical case)

Abstract

One of the topical issues in percutaneous coronary interventions (PCI) is the stenting of extended lesions. Currently, there are two main approaches: stenting with a single long stent (SLS) and stenting with two or more overlapping stents (OS). However, due to the conical geometry of the vessel, stenting of the SLS with a large difference between the proximal and distal reference diameters of the artery may lead to worse results than stenting of the OS, due to lower device compliance to the vessel. The article presents a clinical case illustrating our proposed algorithm for making a decision in favor of SLS or OS based on data obtained using optical coherence tomography.