05 Oct 2024
Complex left main bifurcation PCI - LIVE case
Left main bifurcation stenosis: DK crush technique
Procedural Analyst:
T. Akasaka
Summary
Follow this case of a 65-year-old male with hypertension, a smoker with increasing angina. The coronary angiography found ostial calcified LAD and Circonflex confirmed by IVUS, with a preserved LV function.
The operators decided to perform a PCI of the distal left main with the DK-Crush technique guided by IVUS.
LIVE Educational Case from National University Heart Centre - Singapore
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Key moments
- IVUS run before PCI
- 1:13:32-1:14:45 - IVUS run after PCI
- 28 37-34:39 DK crush step-by-step
Keywords: Left main distal bifurcation, 2 stents technique, DK crush, IVUS
Learning Objectives
- To understand the approach towards selecting the right strategy for distal left main bifurcation lesion
- To use intravascular imaging to guide and optimise results
- To understand the tips and tricks of "double-kissing" crush technique
