LAD and RI Lesions Treated by V Stenting Technique

- Operator : Seung-Jung Park

LAD and RI Lesions Treated by V Stenting Technique
- Operators: Seung-Jung Park, MD / Duk-Woo Park, MD
Case Presentation
A 52 year-old male was referred to our hospital for a second opinion. Several months ago, effort chest pain was developed. He underwent coronary angiogram which revealed severe stenosis at proximal LAD and RI. His coronary risk factor was hypertension. His baseline ECG and cardiac markers were unremarkable.
Baseline Coronary Angiography
  1. The left coronary angiogram showed severe stenosis at LAD and RI bifurcation. ( Movie 1, Movie 2)
  2. The right coronary angiogram showed normal RCA. (Figure 1)
Procedure
An 8F sheath was inserted through right femoral artery, and the left coronary artery was engaged with an 8F JL 4 catheter. The 0.014-inch 190cm BMW wire was inserted into the LAD and another BMW wire was inserted in to the RI. After IVUS, proximal LAD and RI were pre-dilated with 2.5 X 20mm BH PLUS balloon. A Resolute Onyx 3.00 X 30 mm stent for proximal LAD and 2.75 x 26 mm stents were successfully implanted with V stenting technique.( Movie 3). And then kissing ballooning was performed by using a 3.5 X 15 mm non-compliant (NC) Lacrosse balloon at proximal LAD and 2.75 X 15mm NC Sapphire balloon at RI.(Figure 2). Final left angiogram showed successful result.( Movie 4, Movie 5)

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