Double Barrel DCB in a Giant Ostial LAD

Coronary artery ectasia is associated with adverse cardiac events. It presents significant challenges to percutaneous coronary intervention, with higher risks of no reflow. Moreover, conventional PCI strategies may not be suitable. In this case report, we showcase how we treated a patient with coronary artery ectasia and NSTEMI with a novel application of a "double-barrel" drug-coated balloon (DCB) strategy. The patient recovered well post PCI and has since remained chest pain-free. Relook at coronary angiography at 9 months showed a widely patent vessel with evidence of late lumen gain after DCB treatment. To our knowledge, this is the first reported case of such an approach.