Complex Intervention Procedures Case Series

THE LITHOCUT STRATEGY

Researchers & Contributors

Dr. NN Khanna

Dr. NN Khanna

MD DM FRCP FACC FSCAI FESC FAPSIC FCCP FEISI FICC FCSI

North India Lead–Endovascular Services, Senior Consultant

Department of Interventional Cardiology and Vascular Interventions

Indraprastha Apollo Hospital

New Delhi, India

Dr. Aatish Rengan

Dr. Aatish Rengan

MD DM

Attending Consultant

Department of Interventional Cardiology and Vascular Interventions

Indraprastha Apollo Hospital

New Delhi, India

Case Videos

Video 1

Angiogram: Calcific triple-vessel disease with distal left main stem (LMS) disease

Video 2

Severe calcification visible on IVUS

Video 3

Calcium modification with IVL from the proximal to mid RCA

Video 4

DES deployment followed by stent optimization using NC balloons

Video 5

DES deployment followed by stent optimization using NC balloons

Video 6

Final IVUS run showed good stent expansion

Video 7

IVUS showed severe calcification in ostial, proximal, and mid LAD

Video 8

LAD IVL

Video 9

Repeat IVUS showing a persistent uncracked 360° ring of calcium in the proximal LAD

Video 10

Cutting-balloon angioplasty with a Wolverine balloon for calcium modification

Video 11

LM-to-LAD stenting followed by post-dilatation and final POT

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