Thanks for the great case! I would have placed the first stent distal to hematoma after recanalization of the LAD so to stop its' spreading due to contrast injection and then deal with the diagonal CTO. And I would have performed the final IVUS to see the residual dissection and decide on stenting based on its' significance. Thanks again for sharing.
Great points - surgery is a great option in patients who are good surgical candidates and agree to proceed. We could have placed additional stents but did not because flow was good and did not want to stent extensively in the LAD in case the patient requires CABG in the future.
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Thanks for the excellent case sharing.
Thanks for the great case! I would have placed the first stent distal to hematoma after recanalization of the LAD so to stop its' spreading due to contrast injection and then deal with the diagonal CTO. And I would have performed the final IVUS to see the residual dissection and decide on stenting based on its' significance. Thanks again for sharing.
Why not lima to lad?
why not lima to lad
Why not Lima and SVG to lad and diag
Distal dissection need to be stented?
Good case
Great points - surgery is a great option in patients who are good surgical candidates and agree to proceed. We could have placed additional stents but did not because flow was good and did not want to stent extensively in the LAD in case the patient requires CABG in the future.