LEFT MAIN BIFURCATION—IVUS GUIDED DK CRUSH TECHNIQUE: A CASE STUDY
Researchers & Contributors
Dr. Gajinder Pal Singh Kaler
DM (Cardiology), MD (Medicine), MBBS, FAPSIC
Senior Consultant
Department of Interventional Cardiology
Satguru Partap Singh Hospital
Ludhiana, Punjab, India
Case Videos
Video 1A
Syntax score 23
Video 1B
Syntax score 23
Video 1C
Syntax score 23
Video 1D
Syntax score 23
Video 2A
Workhorse guidewires in LAD/LCX
Video 2B
LAD Ostioproximal dilation 2.5 x 12 mm NC balloon
Video 2C
LCX Ostioproximal dilation 2.5 x 12 mm NC balloon
Video 3A
Workhorse guidewires in LAD/LCX
Video 3B
LAD to LMCA Pull back
Video 3C
LCX to LMCA Pull back
Video 4A
LCX Stent 3 x 22 mm deployed at 14 atm2mm Protusion into LMCALAD NC Balloon 3.5 X 15 mm In Situ
Video 4B
Stent Balloon Pullback Flare of LCX ostium 16 – 18 atm
Video 4C
Post Deployment LCX Stent And LCX Wire Removed after angiogram
Video 5A
LCX stent crush by 3.5 x 15 mm NC Balloon in LAD
Video 5B
Inability to cross LCX through proximal struts overcome Crush by LMCA POT Balloon 4 x 8 mm NC
Video 5C
LCX Rewired through proximal stent struts
Video 6A
First FKBI (Sequential & Simulataneous dilation) LAD 3.5X 15 mm NC balloon LCX 3.0 x 12 mm NC balloon
Video 6B
Post first FKBI LCX Guidewire Removed after angiogram
Video 6C
LM to LAD Stent Positioning 8mm into LMCA and distal edge at LAD Distal reference point
Video 7A
LMCA to LAD Stent 3.5 X 22 mm Deployed at 14 atm
Video 7B
Post LMCA to LAD Stent Deployment
Video 7C
LMCA POT 4 x 8 mm NC balloon Before LCX Rewiring
Video 8A
LCX Rewired through Proximal Struts
Video 8B
2nd FKBI (Sequential & Simulataneous dilation)LAD 3.5 X 12 mm NC balloon LCX 3.0 X 10 mm NC balloon
Video 8C
LMCA POT balloon 4.5 x 8 mm NC balloon @ 14 atm