critical Aorto ostial LMS stenosis. Buddy NC balloon tech for post dil.

elderly male pt. ACS, ongoing chest pain.
critical Aorto ostial LMS stenosis.
left dominant system.
additional tight lesion at mid lad.
buddy NC balloon tech used for focal post dilation of Aorto ostial LMS.

[@aq4019]

Which sizes did u use for double NC angioplasty?
Thanks.
Great case

[@drimranhanifhashmi5442]

5.0 x 10mm for focal pressure and 3.5x 15 mm for stabilisation.

[@drpanchapakesankrishnan]

Good job...still feel he will better benefit from cabg

[@drimranhanifhashmi5442]

70y male, ACS, impending CS

[@drpanchapakesankrishnan]

@@drimranhanifhashmi5442 thanks sir...for getting back..

[@drpanchapakesankrishnan]

PCI will give Him time to recuperate, but he needs atleast venous grafts to the diseased vessels if good results are to be anticipated...if LV function is good...has good vessels for bypass, i feel age is still not a absolute contraindication! Thanks for the kind response,sir

[@drpanchapakesankrishnan]

Moreover this is a LMCA equivalent disease, which entails high risk of SCD..necessitating cabg...