PCI in the angulated or tortuous lesion: Difference between revisions
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'''Editors-In-Chief:''' [[C. Michael Gibson]], M.D., Alexandra Almonacid M.D., and Jeffrey J. Popma M.D. | |||
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== Angulated Lesions == | |||
* Balloon angioplasty of highly angulated lesions is associated with an increased for risk coronary dissection. | |||
* In the settings of coronary stenting, angulated lesions represent a challenge due to the inability of delivering the stent to the stenosis and straightening of the arterial silhouette after stent implantation that may predispose to the presence of stent fracture. | |||
* Vessel curvature at the site of maximum stenosis should be measured in the most unforeshortened projection using a length of curvature that approximates the balloon length used for coronary dilation. | |||
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Revision as of 19:44, 22 June 2010
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Angulated Lesions
- Balloon angioplasty of highly angulated lesions is associated with an increased for risk coronary dissection.
- In the settings of coronary stenting, angulated lesions represent a challenge due to the inability of delivering the stent to the stenosis and straightening of the arterial silhouette after stent implantation that may predispose to the presence of stent fracture.
- Vessel curvature at the site of maximum stenosis should be measured in the most unforeshortened projection using a length of curvature that approximates the balloon length used for coronary dilation.