TCTAP 2019 Webcast
> Cases
| LM Bifurcation Treated by Crush Technique |
| - Operator: Seung-Jung Park, MD |
| Case Presentation |
| A 59 year-old male was admitted with effort chest pain for 6 months. His coronary risk factor was hypertension. The physical examination was normal. His baseline ECG and cardiac markers were unremarkerable. |
| Baseline Coronary Angiography |
| Procedural Steps |
|
An 8F sheath was inserted through right femoral artery, and the right coronary artery was engaged with an 8F JR catheter. Resolute integrity 3.0 X 22 stent was deployed in pRCA before left coronary artery procedure. Then, the left coronary artery was engaged with an 8F JL 4.0. 0.014-inch 190cm BMW wire was inserted into the LCX and another 0.014-inch 190cm BMW wire was inserted into the LAD. A Resolute integrity 3.5 X 12 mm Stent was positioned in pLCX and another Resolute integrity 3.5 X 26 mm Stent was positioned in distal LM to proximal LAD. The pLCX stent was successfully deployed (  Movie 4). And distal LM-proximal LAD stent was deployed, crushing that portion of the LCX stent lying in the LM ( Movie 5). 0.014-inch 182cm Choice PT wire was inserted into the LCX. Additional kissing ballooning was performed by using a Quantum 3.5 X 15 at dLM-pLAD and a Pantera LEO 3.5 X 20mm at pLCX ( Movie 6). Final left angiogram and IVUS showed that the procedure was successful. ( Movie 7)
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Shaopeng Xu2014-11-08
Since the diameter of LAD and LCX is equal, is culotte more sutable to this lesion?
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