IVUS-GUIDED IMPELLA SUPPORTED COMPLEX LEFT MAIN BIFURCATION PCI: ADJUNCTIVE USE OF ROTATIONAL ATHERECTOMY AND INTRAVASCULAR LITHOTRIPSY
Researchers & Contributors
Dr. Karishma Pareek
MD
Clinical Fellow in Cardiovascular Medicine
Department of Cardiology
University of Vermont Medical Center
Burlington, Vermont
Dr. Tanush Gupta
MD
Interventional and Structural Cardiologist
Department of Cardiology
University of Vermont Medical Center
Burlington, Vermont
Case Videos
Video 1
CAG demonstrating calcified distal LM stenosis with involvement of the ostial LAD and ostial LCx
Video 2
Wiring of the LAD followed rotational atherectomy using a 1.5 mm burr.
Video 3
Post-IVL IVUS assessment for stent sizing
Video 4
Final IVUS demonstrating excellent stent expansion and apposition with adequate MSA in the distal LM and branch vessels.
Video 5
Final CAG demonstrating brisk TIMI grade 3 flow without residual stenosis, dissection, or distal vessel perforation.