Lorenzo Azzalini

Did you know that neoatherosclerosis (in the context of in-stent restenosis (ISR)) can suffer dissection, just like any native coronary artery, when balloon dilatation is performed?

A 54-year-old male was admitted with an inferior ST-segment elevation myocardial infarction. Coronary angiography (CAG) showed a thrombotic occlusion of the RCA and a total chronic occlusion (CTO) of the LAD and PCI on the RCA was performed.

A 73-year-old male presented with acute chest pain and ST segment elevation in the inferior leads. Angiography revealed an occlusion of the mid right coronary artery. A drug-eluting stent was deployed and post-dilated throughout with a non-compliant balloon. However, the deflated balloon could not be retracted...