Successful treatment of tandem calcific right coronary artery stenoses with 50 mm tapered Biomime Morph stent guided by intravascular ultrasound and rotablation using a sheathless guide via the radial access

Abstract

Tandem and/or diffuse calcific coronary stenoses can present significant challenges during percutaneous coronary intervention (PCI). Often, these long lesions require treatment with multiple stents of different calibers. However, this approach can result in unfavorable outcomes. We report here a case of tandem calcific right coronary artery stenoses in a low body weight elderly lady successfully treated via the radial approach using a sheathless guide with 50 mm tapered Biomime Morph stent aided by intravascular ultrasound and rotablation.

Keywords

• Tapered stent
• IVUS
• Rotablation
• Stent overlap