EBC - ON DEMAND
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
AWARD CASE SESSION – VOTING
Extreme Left Main Stem Calcification: Rotashock combination therapy
Author: Peter O’Kane, MD FRCP, Royal Bournemouth Hospital, UK
CLINICAL PRESENTATION
- 79 year old lady
- Unstable angina, Troponin 250, eGFR 38
- Exertional dysopnea for several months
- Echo: LVEF 45%with akinetic apex but good regional wall motion elsewhere
PCI STRATEGY
- 7F EBU3.5 Guide
- RT wire LAD & SB wire LCx
- Sapphire 2.0×20 balloon not cross LAD •Rotational atherectomy
- 2 stent technique – culotte of DK Crush • IVUS guided throughout