Imaging Guided PCI of LM Bifurcation using RA and Mini-Crush Technique

Case and Plan:
79-year-old morbidly obese male presented with unstable angina & negative troponin. A Cardiac Cath on March 29, 2024 @ OSH revealed calcified 3 V + LM CAD: 80% distal LM bifurcation with additional 70-80% lesions in LAD and LCx, subtotal proximal RCA and totally occluded mid RCA with SYNTAX score of 42 and LVEF 55%. CABG was recommended, but strongly declined by the patient. Patient is now planned for imaging guided PCI of LM bifurcation and additional lesions using rotational atherectomy and Mini-Crush technique.

[@Whenisaybum]

Dislike

[@mohammedawaad1689]

Very true: STATE OF ART DEMONSTRATIONS.
Thank you so much.

[@mohammedawaad1689]

Great work. Outstanding. Thank you so much

[@dramolchavhan4431]

Can we do such case without LV assistant device ?

[@areenal-taie6836]

Great case and cath team !
Thank you very much !

[@siwanchoi9470]

Cutting balloon inflation is safe in bifurcation lesion with branch wire?