Management of patient with complex left main stenosis - LIVE case

A 52-year-old male, with a history of STEMI treated by PPCI on RCA one month ago, presents with angina CCS 2 and severe, calcified stenosis in the LAD, CX, and distal left main. The treatment involved implanting 2 stents in the LAD after Rota preparation, followed by a stent in the mid-circumflex with IVL preparation. The procedure concluded with a DK crush technique in the left main (CX stent crushed), all guided by IVUS.

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LIVE Educational Case from University of Medical Sciences, Poznan - Poland

Key moments

• 21:37-24:38 - LAD IVUS run
• 32:37-34:23 - CX IVUS run
• 44:14-01:10:50 - DK crush technique step-by-step

Keywords: Left main bifurcation, IVL, rotablator, DK crush technique, IVUS