Slides Coronary Left Main
Left Main Bifurcation Disease Treated with Mini Crush Technique
- Operator : Seung-Jung Park
Left Main Bifurcation Disease Treated with Mini Crush Technique |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 67 year-old gentleman visited our hospital with effort chest pain. His coronary risk factors were diabetes and ex-smoker. The physical examination was non-significant. The ECG and cardiac enzymes were unremarkable. The echocardiography showed normal left ventricular function (EF=62%) without regional wall motion abnormality. Thallium SPECT showed reversible large sized mild to moderate perfusion defect in anterolateral and inferolateral wall. |
Baseline Coronary Angiogram |
Procedure |
A 8Fr sheath was inserted through right femoral artery, and the left coronary artery was engaged with a 7 Fr JL4 SH guiding catheter. 0.014-inch NEO¡¯s (Sion) 180cm wire was inserted into the LCX and LAD. Predilatation was performed with TREK RK 2.5 x 20mm at proximal LCX and proximal LAD (Figure 1, Figure 2). And then, Xience Alpine 2.75 x 23mm was successfully deployed at proximal LCX (Figure 3). Another Xience Alpine 3.25 x 33mm was successfully deployed at left main to proximal LAD (Figure 4). Additional ballooning was done with Pantera LEO 3.0 x 15mm Empira NC 3.5 x 15mm at left main to proximal LAD and Lacrosse 1.0 x 5mm and Sprinter legend 1.25 x 15mm at proximal LCX. And then kissing ballooning was performed by using 3.0 x 15mm Pantera LEO at left main to proximal LAD and 2.75 x 15mm Quantum at proximal LCX. Final coronary angiogram showed successful result ( Movie 3). |
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