ABSTRACT

Introduction and background The treatment of long lesions has historically yielded poor immediate and long-term results when approached with traditional balloon angioplasty.1,2 The length of a coronary lesion is a predictor of procedural failure3-5 and balloon dilatation has been associated with a higher risk of vessel dissection, occlusion, and late restenosis.6-10 The application of new devices such as long balloons11 and rotational atherectomy12,13

increased procedural success but did not improve restenosis rate.