LAD-D2 Bifurcation Lesion PCI using 2-Stent Technique - CCC Live Oct 2016
Vložit
- čas přidán 7. 09. 2024
- 65 year-old diabetic male presented with new onset class II angina and a stress echo revealed apical and mid inferior wall ischemia. A Cardiac Cath on August 2, 2016 revealed 3V CAD: 70% RCA-RPL1, 80% proximal-mid LAD, 80% D2 LAD bifurcation, 80% LCx-OM1 and 70% LCx-LPL with normal LVEF; SYNTAX Score of 25. Patient underwent Heart Team discussion and then opted for complex multi-vessel PCI. Patient continued on aggressive CAD risk factor modification and maximal medical therapy. Patient is now planned for LAD-D2 bifurcation lesion PCI using dedicated 2 stent technique.
Date: October 2016
Broadcast live from: Mount Sinai Hospital
Operators: Dr. Samin Sharma and Dr. Annapoorna Kini
Modetator: Dr. Sameer Mehta
Good sir 👍 in 2006-2008 I was with ur Cath Lab in Jaipur sir
In patients like these, we routinely use dapt and I believe that’s what the guidelines suggest. Can you please share why this patient was not given dual antiplateletes? Thank you
Nice job, great team. Congratulations and thank you for very educational case. I can see, that minicrush technique is routine in your 2-stent strategy. I got two questions: Did you perform POT inflation after kissing? I didn't saw this on the film. How with the distal stent? Don't you think, that is underexpanded in the middle?
What about mid portion of LAD (between two stent ) spasm or atherosclerosis? IVUS ? Nitroglycerin?
In cullot side branch is stented first and significant portion of side branch stent come in proximal main branch but this is not done in this case ? Look more like TAP ?
In LAD significant plaque burden us there(between 2 LAD stent ) should we leave it alone or cover with one more stent ?