EBC - ON DEMAND
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
CASE SESSION – TIPS & TRICKS
Ivus guided LAD CTO/LM – bifurcation stenting
Author: Dr Joby K Thomas, MD, DM, Caritas Hospital Kerala, India
SUMMARY
- Patient underwent CABG and mitral valve repair in 2014 at a different hospital
- Had effort angina which revealed occluded LIMA and both SVGs(2017)
- They attempted PTCA , did RCA and ‘ramus ‘ stenting
- LAD was ostial CTO , which they could not succeed in doing
- Patient still has angina
- Check angio showed patent stents in RCA and ‘ramus’
- That converted a 0,1,1 LM distal bifurcation to 0,1,0
- But LAD ostial CTO with no stump