18 May 2023
Calcified distal left main stenosis - LIVE case
Provisional distal left main stenting with OFDI-guided lithotripsy
Operators:
B. Chevalier, T. Hovasse
Procedural Analyst:
D. Milasinovic
Summary
Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.
Provisional left main stenting was performed, with lesion preparation by lithotripsy, followed by stenting of the prox LAD and stenting of the LM-LAD, ensued by kissing and POT.
PCI was guided by OFDI.
LIVE Case from Institut Cardiovasculaire Paris Sud, Massy - France
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Key moments
- 06:25 - 10:42 - Procedural analysis, CT scan and angiography
- 18:41 - 20:24 - OFDI
- 21:20 - 32:10 - Step-by-step lithotripsy
- 01:04:15 - 01:07:04 - Post-stent OFDI
Keywords: Left main, Provisional stenting, Lithotripsy, Calcified lesion, OFDI
Learning Objectives
- To analyse imaging and angiography in during PCI of calcified lesion
- To select the most appropriate dedicated device for a calcified lesion
- To review procedural aspects of PCI of calcified lesions
