Slides
Left Main Trifurcation Lesion Treated with Single Stent Cross-Over Technique and Final Kissing Balloon Inflation
- Operator : Antonio Colombo
| Left Main Trifurcation Lesion Treated with Single Stent Cross-Over Technique and Final Kissing Balloon Inflation |
| - Operator: Antonio Colombo, MD |
| Clinical presentation |
| A 57-year old woman was admitted due to effort chest pain for 6 months. Her coronary risk factor was diabetes and hypertension. His baseline ECG was normal. Echocardiography normal LV systolic function (EF = 56%). |
| Baseline coronary angiogram |
|
1. Left coronary angiogram showed distal LM bifurcation stenosis and significant narrowing of ostium of LAD (Figure
1, Figure 2). 2. Right coronary angiogram was normal |
| Procedure |
| An 8F sheath was inserted through right femoral artery, and the left coronary ostium was engaged with a 8F XB catheter with 3.5 cm curve. Two 0.014 inch BMW guidewires were inserted into the LAD and LCX respectively. A 0.14 inch Rinato guidewire was inserted into the RI branch (Figure 3). A 3.5 X 23mm Cypher stent was positioned from the distal LM to the proximal LAD and deployed by 20 atm (3.83 mm) (Figure 4). And then, a 2.5 X 12 mm Quantum balloon was positioned at RI branch and deployed by 12 atm (2.5 mm) and a 3.5 X 12 mm Quantum balloon was placed at proximal LCX and deployed by 12 atm (2.5 mm). Final kissing balloon dilatation was done with a 3.0 X 12 mm Quantum balloon at LCX by 12 atm (3.0 mm) and a 2.5 X 12 mm Quantum balloon at RI by 12 (2.5 mm), and a Quantum 4.0 X 12 mm at LAD by 20 atm (4.19 mm) (Figure 5). Final angiogram showed a well-expanded stents without residual narrowing (Figure 6, Figure 7). |
Leave a comment
Sign in to leave a comment.
Comments