Agent ide study it was reported that reduced blood flow occurred.On december 10th, 2021, a target lesion in the mid left anterior descending artery (lad) was treated with balloon angioplasty using a 2.50 x 30mm agent dcb.On january 29th, 2024 the subject presented with 90% restenosis at the mid lad.The target lesion was first treated using a non-boston scientific balloon after this, rotational atherectomy was performed using a 1.50mm rotapro burr, however the rotapro burr was unable to be advanced into the lesion.At this point the repeated angiography revealed no reflow in the lad for which further rotablation was not performed.Post this, the lesion was treated with a 2.50 x 10mm wolverine cutting balloon which was also unable to cross the stent distally.Finally, a 2.50 x 15mm nc emerge balloon was used inflated in the entire stented segment.Post which, the ivus revealed luminal gain and no edge complication, 20% residual stenosis with timi flow of 3.On january 31st, 2024, the subject was stable without any chest pain revealing stable ekg with normal evolution of mi and the subject was discharged with clopidogrel, warfarin, imdur, metop, and crestor, followed by cardiac rehabilitation.
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