Case Study: Complex Left Main with Two Sidebranches

Sponsored by Medtronic

Left main coronary artery (LMCA) disease is complex, and PCI has taken a more prominent role in treating it. Yet despite advances in intervention, the distal left main remains technically challenging. Obtaining a successful treatment result in PCI for left main bifurcation requires drug-eluting stent (DES) technology well suited for this application, paired with an optimised implantation technique.

Watch Dr. Nicolas Boudou treat a complex left main artery with two sidebranches using Resolute Onyx™ 4.5-mm DES.

Patient profile:

  • 83-year-old man
  • Cardiovascular risk factors: current smokers, dyslipidemia
  • Symptoms: ACS without ST elevation, tropo+
  • Clearance creatinine: 83 ml/min
  • TTE: LVEF : 65%

Description of lesion:

Right coronary artery presents with atheromatous plaques. Multivessel disease in left artery, complex stenosis of distal LMCA and proximal LAD with stenosis in trifurcation in both diagonals and a short circumflex artery. In-stent restenosis in a BMS (2013) in proximal LAD.

Medtronic Disclaimer

This case study relates an account of an individual’s response to the treatment. The account is genuine, typical and documented. However, the individual’s response does not provide any indication, guide, warranty, or guarantee as to the response other persons may have to the treatment. The response other persons have to the treatment could be different. Responses to the treatment discussed can and do vary and are specific to the individual patient. Please consult the product IFU for other important information that pertains to the therapy or products discussed.

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With an unrestricted educational grant from Medtronic


Dr. Nicolas Boudou


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