T wo Stent Strategy with DES and BVS for Left Main Bifurcation - PowerPoint PPT Presentation

Sep 01, 2022 •298 likes •482 views

T wo Stent Strategy with DES and BVS for Left Main Bifurcation Treatment Indulis Kumsars, MD Latvian Centre of Cardiology Latvia Clinical Characteristics Male 69 y.o. Stable angina CSS II-III Old Q-MI anterior wall EF- 50%

T wo Stent Strategy with DES and BVS for Left Main Bifurcation Treatment Indulis Kumsars, MD Latvian Centre of Cardiology Latvia
Clinical Characteristics  Male  69 y.o.  Stable angina CSS II-III  Old Q-MI anterior wall  EF- 50%  PCI with DES LAD 2011
LM before treatment
LCX ostium before treatment MLA 3.54 mm 2
PCI – Positioning of BVS Cutting balloon 3.25 – 10mm BVS 3.5 – 12mm
PCI – BVS post-dilatation NC 3.5 – 8mm
Result after BVS in LCX
PCI – DES LM - LAD Balloon 3.5 – 15mm DES 4.0 – 18mm
Kissing balloon dilatation Balloon 4.0 – 8mm - LAD Balloon 3.5 – 12mm – LCX POT 4.5- 8mm LM
Final result
IVUS in LCX after treatment LCX body LCX just after bifurcation
LM after treatment
OCT in LCX
OCT in LCX just after bifurcation
OCT in LM
Conclusions  Strategy with DES+ BVS could be effective treatment option in selected distal LM cases  IVUS and OCT are helpful additional tools in complex LM treatment

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