True Lumen Sandwiched in Neocarina
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
AWARD CASE SESSION – VOTING
True Lumen Sandwiched in Neocarina Role of IVUS in LM CTO
Author: Juan Luis Gutierrez Chico, MD, PhD, Cardiac Care – Cardiovascular Heart Centre Marbella, Spain
CLINICAL PRESENTATION
- 54 y.o. male pt
- Angina CCS II
- TTE: LVEF 72%, no WMA
- SPECT: Anterior perfusion defect on exertion
TAKE HOME MESSAGE
- Any subintimal course around carina: alert
- Importance of imaging to solve complications
- Subintimal shift? –>Plaque shift –> Carina shift –> Subintimal shift
- Stent the entry & exit points to subintima