23 May 2025
PCI for complex bifurcation disease - LIVE Case
Non-left-main bifurcation PCI with DK crush strategy
Operators:
K. Al-Shaibi, M. Alasnag
Procedural Analyst:
F. Burzotta
Summary
A 60-year-old male patient presented with an inferior STEMI one month ago, which was treated with RCA and LCx PCI. He was referred for LAD/diagonal PCI. The LV function was reduced (EF 45 %). The team performed a DK crush PCI, guided by IVUS.
LIVE Educational Case from The Cardiac Center King Fahd Armed Forces Hospital - Jeddah, Saudi Arabia
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Key moments
- 08:50-10:16 - Imaging analysis
- 21:39-25:35, 1:18:11-1:25:40 - IVUS runs
- 39:11-1:17:24 - Step-by-step DK crush
Keywords: Non left main bifurcation, IVUS, DK crush strategy
Learning Objectives
- To appreciate a stepwise provisional strategy for treatment of a complex non left main bifurcation
- To observe the use of intravascular imaging during bifurcational intervention
- To understand the role of DCB for side branch treatment
