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Left main coronary angioplasty before TAVI.
Educational objectives
- Discuss the role of PCI before TAVI.
- Discuss the role of OCT on left main stenting.
- Describe the results after polymer-free stenting.
Clinical background
76 year old patient diagnosed with a severe aortic stenosis.
The coronary angiography reveals a severe left main trunk stenosis on its distal part and an intermediate stenosis of the proximal part of the left anterior descending artery.
Description
- Radial approach
- Double gw (LAD, LCX)
- OCT evaluation of left main stenosis
- LAD proximal stenting
- Left main stenting (4x15)
- Post stenting dilatation (4.5 mm non-compliant balloon)
- Post stenting evaluation by OCT
Learning points
- Left main stenting through radial approach
- Double guidewire technique
- Optimization of left main stenting by OCT & vascular stent boost.
Shooting date : 2016-03-22
Last update : 2021-06-09
Last update : 2021-06-09
ILUMIEN™ PCI Optimization System / St. Jude Medical
Illuminating the Future of PCI Optimization
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congnam P. Thanks so much. It is very simple technique, so safe and significant
venkatesa reddy D. very good demonstration
Saif A. Fantastic and clear teaching points
Thank you
Max A. Thank U