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Triple-Vessel Disease in a High-Risk Surgical Patient Treated With Nine Drug-Eluting Stents
1Internal Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
Insights
Coronary artery disease (CAD) management has advanced. This case highlights successful high-risk percutaneous intervention with drug-eluting stents for severe triple-vessel disease in a non-surgical patient.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Coronary artery disease (CAD) remains a leading cause of mortality.
- Treatment strategies for CAD have evolved significantly over time.
Observation:
- A complex patient presented with severe triple-vessel disease.
- The patient was deemed unsuitable for traditional coronary artery bypass graft surgery.
Findings:
- High-risk percutaneous intervention was successfully performed.
- Nine drug-eluting stents were implanted to treat the severe CAD.
Implications:
- Percutaneous intervention can be a viable option for complex CAD in high-risk patients.
- Drug-eluting stents offer a minimally invasive approach for extensive coronary artery blockages.
Abstract:
Coronary artery disease (CAD) is a major cause of morbidity and mortality in the United States, and as strides have been made in its management, outcomes have continued to improve. Management has evolved from expectant management to coronary artery bypass graft surgery and thrombolysis, to more recently percutaneous intervention with stenting and medical management in select cases. Here, we describe a case of a complex patient with severe triple-vessel disease who was deemed a poor surgical candidate for coronary artery bypass graft surgery and would instead undergo high-risk percutaneous intervention with the placement of nine drug-eluting stents.
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