Slides Coronary
LM Trifurcation Lesion Treated by Crush Technique
- Operator : Seung-Jung Park
LM Trifurcation Lesion Treated by Crush Technique |
- Operator: Seung-Jung Park, MD |
Case Presentation |
A 74-year-old male was referred to our hospital for a second opinion. 2 years ago, he underwent percutaneous coronary intervention (PCI) at proximal LAD because of unstable angina. 2 months ago, the follow-up coronary angiogram showed severe stenosis at distal left main (LM) coronary artery with concomitant involvement of proximal LAD, LCX and ramus intermedius. His coronary risk factors were hypertension and hyperlipidemia and history of cerebrovascular accidents. His baseline ECG and cardiac markers were unremarkable. |
Baseline Coronary Angiography |
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Procedure |
An 8F sheath was inserted through right femoral artery, and the left coronary artery was engaged with an 8F JL4 catheter with 4.0 cm curve. The 0.014-inch 190cm Balanced Middleweight (BMW) wire was inserted into the LAD and another Sion Blue wires were inserted into the LCX and RI respectively. RI and proximal LCX were dilated with 2.5 X 15 mm Emerge balloon. After pre-dilation, Resolute Onyx stent 2.5 X 2.6 mm stent was successfully deployed at RI ( |
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