MANAGEMENT OF A COMPLEX OSTIAL CORONARY LESION USING ADVANCED PCI TECHNIQUES: A CASE REPORT
Researchers & Contributors
Dr. Ritwik Ghosal
MBBS (Hons) MD DNB (Medicine) MRCP (UK) DM (Cardiology)
Consultant and Interventional Cardiologist
Department of Cardiology
Woodlands Multispeciality Hospital
Kolkata, West Bengal, India
Case Videos
Video 1A
CAG demonstrating significant disease involving the ostial LMCA, ostial LCX, and proximal LAD, with minor disease in the RCA
Video 1B
CAG demonstrating significant disease involving the ostial LMCA, ostial LCX, and proximal LAD, with minor disease in the RCA
Video 1C
CAG demonstrating significant disease involving the ostial LMCA, ostial LCX, and proximal LAD, with minor disease in the RCA
Video 2A
Predilatation of the LCX ostium using 2.0 mm and 2.5 mm NC balloons, followed by buddy-wire-assisted predilatation with a 3.0 mm cutting balloon.
Video 2B
Predilatation of the LCX ostium using 2.0 mm and 2.5 mm NC balloons, followed by buddy-wire-assisted predilatation with a 3.0 mm cutting balloon.
Video 2C
Predilatation of the LCX ostium using 2.0 mm and 2.5 mm NC balloons, followed by buddy-wire-assisted predilatation with a 3.0 mm cutting balloon.
Video 3A
Deployment of a 3.0 × 25 mm drug-coated balloon (DEB), followed by angiography demonstrating significant residual narrowing with dye hold-up.
Video 3B
Deployment of a 3.0 × 25 mm drug-coated balloon (DEB), followed by angiography demonstrating significant residual narrowing with dye hold-up.
Video 4
IVUS showed a large intramural hematoma
Video 5A
Predilatation of LAD and LM ostium, followed by stent deployment in the distal LAD
Video 5B
Predilatation of LAD and LM ostium, followed by stent deployment in the distal LAD
Video 5C
Predilatation of LAD and LM ostium, followed by stent deployment in the distal LAD
Video 6A
Stent deployment in the LCX, followed by crushing using an NC balloon in the LAD and deployment of an overlapping stent from the ostial LM to the LAD.
Video 6B
Stent deployment in the LCX, followed by crushing using an NC balloon in the LAD and deployment of an overlapping stent from the ostial LM to the LAD.
Video 6C
Stent deployment in the LCX, followed by crushing using an NC balloon in the LAD and deployment of an overlapping stent from the ostial LM to the LAD.
Video 7A
POT, LCX recrossing and strut dilatation, followed by kissing-balloon inflation using NC balloons in the LCX and LAD.
Video 7B
POT, LCX recrossing and strut dilatation, followed by kissing-balloon inflation using NC balloons in the LCX and LAD.
Video 7C
POT, LCX recrossing and strut dilatation, followed by kissing-balloon inflation using NC balloons in the LCX and LAD.
Video 8A
IVUS post-POT showed under-expansion of the distal LAD stent; therefore, further postdilation and POT with flaring was done.
Video 8B
IVUS post-POT showed under-expansion of the distal LAD stent; therefore, further postdilation and POT with flaring was done.
Video 8C
IVUS post-POT showed under-expansion of the distal LAD stent; therefore, further postdilation and POT with flaring was done.
Video 9A
Final angiograms showed TIMI III flow
Video 9B
Final angiograms showed TIMI III flow