LAD CTO and LM treated with TAP
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
TIPS AND TRICKS IN BIFURCATION PCI – THE SYNERGY BETWEEN EBC AND ASIA
LAD CTO and LM treated with TAP
Author: Jaskaran Singh Dugal, MD, Jehangir Hospital, India
HISTORY
- 40 year old patient
- Had anterior wall MI 10 years ago. He was given thrombolytic therapy with STK and subsequently continued on medical management
- Now presented with retrosternal pain and DOE with minimal exertion
- ECHO showed anterior wall RWMA hypokinesia
- EF 50%
- Risk profile – Hypertension, Hyperlipidimia
- Syntax Score 30
- JCTO score – 2
PLAN
- Address CTO antegrade/retrograde • LCX/OM Bifurcation
- LAD/LCX/LMCA Bifurcation LAD/diagonal
- What Technique?