Long diffuse coronary artery stenosis is often encountered in elderly patients. Many of these patients have multivessel disease, previous myocardial infarction, diabetes and impaired left ventricular function. Due to a combination of diffuse disease, small caliber vessels and often heavy calcification, bypass graft surgery for such vessels is associated with poor short and long-term outcomes. Current approaches include the use of long balloons, rotational atherectomy, laser angioplasty, and a combination of primary or bail-out spot stenting.
DAVID SAI-WAH HO, RUI-YAN ZHANG, ANDREW MACISAAC, PATRICIA FOX, Angioplasty for Long Diffuse Coronary Lesions Journal of the Hong Kong College of Cardiology 2022;8(3):129-137 https://doi.org/10.55503/2790-6744.1407