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Ivus guided LAD CTO/LM – bifurcation stenting

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Ivus guided LAD CTO/LM – bifurcation stenting

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

 

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