Ostial Lesion
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
An ostial lesion is defined as a lesion which begins within 3-5 mm of the origin of a major epicardial artery. Ostial lesions represent a challenge to the interventional cardiologist because they often involve the wall of the aorta, they are often calcified, they may not fully dilate and they are prone to restenosis. A key issue in the treatment of an ostial lesion is to assure that the stent is inserted proximal enough to fully cover the aorto-ostial junction (particularly in the right coronary artery). Essentially the operator must realize that the aortic wall is being stented as well.
Angiography Examples
Click here for angiography examples of the ostial lesion.
PCI in the Ostial Lesion
Click here for details about PCI in the ostial lesion.