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