Slides
LAD Ostial Lesion Treated by Crushing Technique
- Operator : Seung-Whan Lee
LAD Ostial Lesion Treated by Crushing Technique |
- Operator: Seung-Whan Lee, MD |
Case Presentation |
A 65-year-old man presented with an effort-related chest pain for one year. His coronary risk factors were hyperlipidemia and diabetes mellitus. His echocardiography showed normal left ventricular systolic function (EF=70%) without regional wall motion abnormality. Thallium scan showed reversible large sized perfusion defect at LAD territory. |
Baseline Coronary Angiography |
1. The left coronary angiogram showed subtotal stenosis at LAD ostium with TIMI 1 flow ( 2. The right coronary angiogram showed mild lesions at proximal to mid RCA and tight stenosis at postero-lateral branch ( |
Procedure |
Five and Eight Fr sheaths were inserted into left and right femoral arteries, respectively. An 8 Fr JL 4 guiding catheter with side hole was engaged into left coronary artery ostium through right femoral artery. A 0.014 inch Fielder FC wire with a Finecross ¢ç 130cm microcatheter was introduced into the LAD ( |
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