Slides
LM Bifurcation Treated by Crush Technique
- Operator : Seung-Jung Park
LM Bifurcation Treated by Crush Technique |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 58 year-old male was admitted with effort chest pain for 2 months. His coronary risk factor was an ex-smoker. The physical examination was normal. His baseline ECG and cardiac markers were not remarkable. |
Baseline Coronary Angiography |
Procedure |
An 8F sheath was inserted through right femoral artery, and the left coronary artery was engaged with an 8F JL catheter with 4.0 cm curve. 0.014-inch BMW wire was inserted into the LCX. 0.014-inch 190cm BMW guidewire was inserted into the LAD. Proximal LAD to LM was predilated with 2.5 x 20mm Maverick balloon (Figure 1). And then, we pre-dilated pLCX using 2.5 X 20mm Maverick balloon (Figure 2). A Resolute integrity 2.75 X 14 mm Stent was successfully deployed at pLCX (Figure 3). We performed crushing with a Resolute 4.0 X 22 mm Stent at dLM to pLAD (Figure 4). Additional kissing ballooning was performed by using a Pantera LEO 4.0 X 20mm at dLM-pLAD and a Empira NC 2.75 X 15mm at pLCX (Figure 5). Final left angiogram and IVUS showed that the procedure was successful ( Movie 4, Movie 5). |
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