Bicto Series Bifurcation Cto 6 Lad Ostial Cto And Lad D1 Antegrade approach: mamba flex mc and fighter wire was used but fighter wire did not entry to prox cto cap. judo 3 wire penetrated to cto cap and advanced to. Stress mpi showed anterior, apical, and septal ischemia. coronary angiogram revealed 2v cad (prox lad cto bifurcation with d1 {medina 1,1,1}, lcx om2). lvef was 60%. medications: asa 81 mg daily, metoprolol xl 50mg daily, amlodipine 5 mg daily, atorvastatin 40mg daily.
Bicto Bifurcation And Cto Lmca Tap Stenting And Lad Cto Youtube Medina wrote that the main purpose of a bifurcation classifica tion is that it “allows for homogenous terminology when comparing different series and techniques”9. a further issue relates to whether figure 2. eight examples of medina’s inspired denominations of a bifurcation lesion (lad 1=proximal lad, proximal to first septal branch). Cag showed (1,1,1) bifurcation lesion by medina classification, and ivus images from lad and d1 showed that the lesion was mainly composed of fibrous and lipid plaque with some shallow calcification, therefore we determined that atherectomy was not necessary. Oct demonstrating migrated and endothelialised cappella in the main vessel (lad) and distal disease discussion figure 2. sideguard® stent. bifurcation lesions are complex, technically difficult, have a higher rate of adverse events and lower success rates. 1 this has led to the introduction of dedicated bifurcation stents, generally deployed along with main vessel (mv) stent. For example, in a prospective study of 65 patients with left anterior descending (lad) artery bifurcation lesions, diagonal branch occlusion resulted in lower rates of anginal chest pain (40% versus 100%; p=0.001), st segment change (37% versus 92%; p=0.001) and arrhythmia compared with occlusion of the lad. 21.
Technical Feasibility And Safety Of Percutaneous Coronary Intervention Oct demonstrating migrated and endothelialised cappella in the main vessel (lad) and distal disease discussion figure 2. sideguard® stent. bifurcation lesions are complex, technically difficult, have a higher rate of adverse events and lower success rates. 1 this has led to the introduction of dedicated bifurcation stents, generally deployed along with main vessel (mv) stent. For example, in a prospective study of 65 patients with left anterior descending (lad) artery bifurcation lesions, diagonal branch occlusion resulted in lower rates of anginal chest pain (40% versus 100%; p=0.001), st segment change (37% versus 92%; p=0.001) and arrhythmia compared with occlusion of the lad. 21. Double kissing (dk) nano crush of a left anterior descending – first diagonal (lad d1) bifurcation. a) complex lad d1 bifurcation lesion (medina 1,1,1). both branches are wired and predilated. b) a stent is positioned into d1, while a non compliant balloon sized approximately 1 mm less than the lad diameter is advanced in the lad and. Oct can assess the extent and depth of calcification in severely calcific coronary lesions to define the most apt lesion modification therapy. we present a 56 year old male with a severely calcific lad d1 bifurcation lesion requiring rotablation prior to oct, followed by a 2 mm cutting balloon for lesion preparation.
Ppt Lad D1 Bifurcation Lesion Crush Technique 35yr Old Male Double kissing (dk) nano crush of a left anterior descending – first diagonal (lad d1) bifurcation. a) complex lad d1 bifurcation lesion (medina 1,1,1). both branches are wired and predilated. b) a stent is positioned into d1, while a non compliant balloon sized approximately 1 mm less than the lad diameter is advanced in the lad and. Oct can assess the extent and depth of calcification in severely calcific coronary lesions to define the most apt lesion modification therapy. we present a 56 year old male with a severely calcific lad d1 bifurcation lesion requiring rotablation prior to oct, followed by a 2 mm cutting balloon for lesion preparation.
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