Cardiac angiography post-three stent deployment in LAD.

Result of successful balloon angioplasty.

Clinical Course

• Intervention performed on left anterior descending artery (LAD).
  • Three drug-eluting stents deployed from mid-portion to proximal portion.
  • Angiography revealed good results with 15% residual stenosis in mid-portion.
• Non-compliant balloon inflated within DES including overlapping regions.
  • Angiography revealed good results; 60-70% stenosis in distal portion of LAD noted.
• Following day, patient experienced cardiogenic shock and deteriorated to Killip Class IV.
• Balloon angioplasty performed to address 60-70% stenosis in distal portion of LAD.
  • 10-20% residual stenosis observed.
• Patient received left ventricular assist device (LVAD) sent to CCU on continued antithrombin therapy.
• LVEF =25%