Left main bifurcation techniques: ultra-low contrast PCI, modified reverse wire technique & more!

Session comprising selected EuroPCR 2024 Clinical Case submissions

Facilitator: H. Gamra
Discussants: O. Goktekin, A. Rodriguez
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Summary

This session showcases various techniques for managing complex left main bifurcation lesions, including the use of ultra-low contrast PCI in calcific disease, a modified reverse wire technique for severely angulated branches, and navigating subtotal occlusions, tortuosity, and trifurcations in post-TAVI PCI. The discussions provide practical insights and solutions for tackling challenging left main bifurcation cases.

Presentations available when logged in:

  • Ultra-low contrast PCI in calcific disease: multimodal approach to procedural planning
  • Modified reverse wire technique for severely angulated branches
  • Left main trifurcation done with provisional strategy under IVUS guidance and DEB for side branches
  • Challenging quadfurcating left anterior descending artery stenosis
  • "Zero contrast" PCI using IVUS and "triangulation" of landmarks
  • Navigating subtotal occlusion, tortuosity, bifurcation and trifurcation in post-TAVI PCI
  • No ROTA, no OAS, no surrender: calcified left main CHIP-PCI on a Friday evening