Slides
LM Bifurcation Treated by Crush Technique
- Operator : Seung-Jung Park
| LM Bifurcation Treated by Crush Technique |
| - Operator: Seung-Jung Park, MD |
| Case Presentation |
| A 62 year-old man was admitted with effort chest pain for 1 month. His coronary risk factor was smoking. The echocardiography showed normal left ventricular function (EF=60%) without regional wall motion abnormality. Treadmill test is positive. |
| Baseline Coronary Angiography |
The left coronary angiogram showed tubular 40 to 50% stenosis of LM ostium to proximal LAD and tubular 90% stenosis of LCX ostium to pLCX ( Movie 1, Movie 2). |
| Procedure |
| An 8 Fr sheath was inserted through right femoral artery, and the left coronary ostium was engaged with an 8Fr ALII catheter with side hole. Two 0.014 inch BMW wires were inserted into the LAD and LCX. We pre-dilated LCX using a Maverick 1.5 x 20 mm balloon and a Dura Star 3.0 x 15mm balloon. Thereafter, we deployed a PROMUS Element stent 3.0 x 38mm at pdLCX (Figure 1). We performed crushing with a PROMUS 3.5 x 20mm at LM to pLAD (Figure 2). Adjunctive post-stenting balloon dilatation was done using a Fortis 3.0 x 18mm at pdLCX and a Nimbus Salvo 3.5 x 17mm at LM to pLAD. Additional kissing ballooning was performed by using a Nimbus Salvo 3.5 x 17mm at LM to pLAD and a Fortis 3.0 x 18mm at pLCX (Figure 3). Final left angiogram and IVUS showed that the procedure was successful ( Movie 3, Movie 4). |
Leave a comment
Sign in to leave a comment.
Comments