Slides Coronary
LM Bifurcation Treated by Crush Technique
- Operator : Seung-Jung Park
LM Bifurcation Treated by Crush Technique |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 63 year-old male was admitted for 3 months of effort chest pain. His coronary risk factors were hypertension, hyperlipidemia. The physical examination was normal. His baseline ECG and cardiac markers were unremarkable. |
Baseline Coronary Angiography |
Procedure |
An 8F sheath was inserted through right femoral artery, and the left coronary artery was engaged with an 8F XB catheter with 3.5 cm curve. 0.014-inch 190cm BMW wire was inserted into the LAD. 0.014-inch 190cm BMW guidewire was inserted into the LCX. LM to proximal LAD was pre-dilated with 2.75 x 15mm Empira NC balloon. (Figure 1) And then, we pre-dilated LM to pLCX using 2.5 X 20mm BH PLUS balloon.(Figure 2) An Orsiro 2.75 X 26 mm Stent was successfully deployed at LM to pLCX firstly.(Figure 3) Then we did crushing with a balloon, TREK 3.5 X 15mm at LM to pLAD.(Figure 4) An Orsiro 3.5 X 30 mm Stent was successfully deployed at distal LM to proximal LAD.(Figure 5) Additional kissing ballooning was performed by using an Empira NC 3.5 X 15mm at LM-proximal LAD and an Empira NC 2.75 X 15mm at pLCX.(Figure 6). Final left angiogram and IVUS showed that the procedure was successful.( Movie 4, Movie 5) |
Leave a comment
Sign in to leave a comment.
Comments