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LAD CTO and LM treated with TAP

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?

 

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