Complex left main bifurcation as well as RCA bifurcation stenosis by Tejas Patel and Sanjay Shah

At 8.45 a.m. sharp, Dr Tejas Patel gave welcome address from Apex Heart Institute. The Nirma University Auditorium was jam packed as 415 participants from India, Bangladesh and many other countries took their seat. The first case was a complex left main bifurcation stenosis as well as RCA bifurcation stenosis which was done by Tejas Patel and Sanjay. Dr. Akasaka and Dr. Gulati were on-site moderators. It was a very complicated case, but it went on smoothly. There was intense discussion between the panel sitting at Nirma Auditorium, the on-site moderators and us. Once again it was a treat to listen to Dr. Akasaka on OCT interpretation and also Rajiv was at his best. The end result was satisfactory.

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After imaging the dLM it’s clearly 1,1,1 disease w SB meeting DEFINITION criteria. Would have done 1.25 or 1.5 burr into LCX, DKC or DK minicrush. Flow in LCX is clearly not TIMI3. Flow reaches the apex much faster than distal LCX. If you make it too simple you get incomplete results. Still a great result. Great case.