CRUSHING WITH CONFIDENCE: REAL-TIME OCT OPTIMIZATION OF LM BIFURCATION STENTING
Researchers & Contributors
Dr. Parakh Gulati
MBBS MD (Medicine) DM Resident
Department of Cardiology
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital
New Delhi, India
Dr. RK Nath
MD DM FACC FSCAI FESC
Professor and Head
Department of Cardiology
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital
New Delhi, India
Case Videos
Video 1
Coronary angiography showed a complex distal LM bifurcation lesion with LAD and LCX involvement, and RCA with patent stents
Video 2
Coronary angiography showed a complex distal LM bifurcation lesion with LAD and LCX involvement, and RCA with patent stents
Video 3
Pre-PCI OCT of the LCx–LM demonstrated tight stenosis with fibrocalcific plaque.
Video 4
Pre-PCI OCT of the LAD showed mixed plaque.
Video 5
Deployment of a 3.0 × 28 mm stent in the ostial-to-mid LAD (side branch), followed by crushing with a 3.5 mm NC balloon positioned in the main branch.
Video 6
Deployment of a 3.0 × 28 mm stent in the ostial-to-mid LAD (side branch), followed by crushing with a 3.5 mm NC balloon positioned in the main branch.
Video 7
First kissing-balloon inflation (KBI) following LAD rewiring and ostial post-dilatation.
Video 8
Deployment of a 4.0 × 28 mm crossover stent from the LM into the LCx, followed by proximal optimisation technique (POT) using a 4.5 × 12 mm balloon.
Video 9
Satisfactory MSAs in LM and LCX post-PCI
Video 10
Suboptimal expansion in the LAD