Sirolimus-Eluting Balloon for the Treatment of Coronary Lesions in Complex ACS Patients: The SELFIE Registry

Figure 3

NSTEMI patient undergoing OCT-guided PCI with the SCB of ostial ISR on RCA. A patient with NSTEMI showing significant stenoses of the distal RCA with significant ISR at the ostium (a). All lesions were predilated with a 2.0 × 20 noncompliant balloon ((b) and (c)). A linear dissection became evident in the distal segment (d) and was covered with a 2.25 × 35 mm DES (e) postdilated with a noncompliant 2.5 × 12 mm balloon (f). The OCT pullback of the ostial ISR revealed a typical fibrotic pattern of neointimal hyperplasia causing significant restenosis (g). The lesion was treated with several inflations of a 3.5 × 15 mm noncompliant balloon at high atmospheres (h) and with a 3.5 × 15 mm SCB afterward (i). Final OCT pullback (j) showed a significant improvement of the MSA with a small neointimal dissection (see asterisk).