PCI of calcified distal left main stenosis - LIVE case

A 54 year-old male with hypertention, smoker, dyslipidemia and history of OM and Diagnal PCI (2004) presented a significant LM-LAD calcified stenosis.

They prepared the proximal LAD lesion by IVL before implanted a 3.5-28 mm stent. Then, they prepared the LM lesion with NC predilatation, a cutting balloon and implanted a megatron 3.5-28 from the LM to the stent of LAD. The ostium of LM remains free of stent. The PCI was guided by IVUS.

LIVE Educational Case from Sant'Andrea University Hospital - Rome, Italy

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Key moments

• 13:54 - 17:49 - Procedural analysis
• 22:30 - 27:57 - IVUS runs
• 31:10 - 39:31 - Preparation of the LM lesion
• 50:43 - 1:12:10 - LM stent implantation and post-dilatations guided by IVUS

Keywords: Provisional stenting in LM bifurcation, cutting balloon, IVL, IVUS, megatron