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Cardiology CLEARstent CLEARstent – A Useful Tool Not Only to Document Stent Expansion Courtesy of Jaques Berland, MD, and Sami Bouraoui, MD Cardiology Department, Saint Hilaire Clinic, Rouen, France Diagnosis The patient underwent a coronary angiogram (Fig. 1) which showed a tight distal stenosis of the left main coronary artery extending into the ostium of the anterior interventricular artery. The circumflex seemed to be unaffected. An angioplasty for the distal lesion of the left main artery was the suggested course of treatment due to the patient’s age. Patient History An 84-year-old patient was hospitalized with chest tightness involving retrosternal pressure upon exertion. 10 years before, the same symptoms had occurred with a coronary angiogram. This showed tight ostial stenosis of the anterior interventricular artery (LAD) and the proximal part of the circumflex artery (LCX). Back then, two stents were implanted, a Cordis Cypher Sirolimus-eluting stent on the proximal LAD, and an ACS Multilink bare metal stent in the proximal part of the LCX. Jaques Berland, MD 1A 1B Left coronary artery seen from RAO 1° / CAU 27° (A) and LAO 58° / CAU 31° (B) showing tight stenosis reaching from left main artery across LCX into LAD 1 36  AXIOM Innovations | December 2013 | www.siemens.com/angiography


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