Slides Coronary Ostial
Proximal LAD Bifurcation Lesion Treated with Simple Cross-Over Technique Using Single Drug-Eluting Stent
- Operator : Barry D. Rutherford
Proximal LAD Bifurcation Lesion Treated with Simple Cross-Over Technique Using Single Drug-Eluting Stent |
- Operator: Barry D, Rutherford, MD |
Clinical presentation |
A 60-year old woman was admitted due to recurrent effort chest pain for 5 years. Her coronary risk factor was hypertension. Her baseline ECG was normal. Echocardiography showed normal LV systolic function (EF = 65%). |
Baseline coronary angiogram |
1. Left coronary angiogram showed significant narrowing of proximal LAD bifurcation (Figure
1, Figure 2, Figure 3) 2. Right coronary angiogram was normal |
Procedure |
An 8F sheath was inserted through right femoral artery, and the left coronary ostium was engaged with an 8F JL catheter with 3.5 cm curve. Two 0.014 inch Asahi Neo¡¯s soft wires were inserted into the LAD and LCX, respectively. A 3.5 X 23 mm Cypher stent was placed at proximal to mid LAD and deployed at 20 atm (3.83 mm) (Figure 4, Figure 5). Post-stent IVUS revealed satisfactory result without malapposition of the stent. Final angiogram showed a well-expanded stents without residual narrowing (Figure 6, Figure 7). |
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