17 May 2024
Imaging-guided left main PCI - LIVE case
Provisional step-by-step stenting for a trifurcation left main stenosis
Recommended by PCR
Operators:
C. Trani, F. Burzotta
Procedural Analyst:
G. Stankovic
Summary
A 53-year-old male with a history of advanced malignancy (lung adenoma) and mid LAD PCI last year, along with multiple risk factors (hypertension, dyslipidemia, diabetes, and smoking), presented with angina and a positive stress test and CT. The angiography and CT showed significant left main stenosis from the ostium to the trifurcation.
The operators performed provisional stenting guided by OCT.
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LIVE Educational Case from Policlinico Universitario Fondazione Agostino Gemelli, Rome - Italy
Key moments
- 09:51-12:53 - Procedural analysis before and after the PCI
- 31:53-36:25
01:15:12-01:22:10 - OCT runs - 41:35-49:45 - Step-by-step provisional stenting
- 01:33:14-01:40:42 - Procedural analysis after the PCI
Keywords: Distal trifurcation left main stenosis, provisional stenting, OCT
Learning Objectives
- To learn how to plan left main PCI on the bases of non-invasive (MSCT) and invasive (intravascular) imaging
- To learn how to conduct left main PCI in a patient with severe left main trifurcation lesion
