Distal left main stenosis with a trifurcation - LIVE case

Watch the case of a 69-year-old male patient with atrial fibrillation, peripheral artery disease and severe pulmonary disease, referred for worsening angina. The angiography revealed a tight distal left main stenosis on a trifurcation.

In this case, the PCI is guided by IVUS with provisional stenting (LM-LAD) and protect wires in the ramus and in the circumflex, followed by a POT, then re-wired of the ramus, kissing and final POT.  

LIVE Case from Clinique Pasteur, Toulouse - France

 
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Key moments

• 07:00 - 10:00 - Procedural analysis pre PCI
• 19:20 - 23:28 - IVUS pre PCI
• 23:50 - 59:00 - Perfect provisional stenting of the distal left main with a trifurcation
• 59:00 - 01:05:35 - IVUS post PCI
• 01:10:26 - 01:14:17 - Procedural analysis post PCI

Keywords: Left main, Provisional stenting, IVUS