Video : Left main coronary stenting by polymer free stent. OCT evaluation

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Cardiology / Coronary / Pci / Case in the box

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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

ILUMIEN™ PCI Optimization System / St. Jude Medical

Illuminating the Future of PCI Optimization

Coroflex® ISAR / B. Braun

Sirolimus eluting polymer-free coronary stent system

4 comments

Join the Discussion

congnam P. Thanks so much. It is very simple technique, so safe and significant

2017-08-10, 7h10
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venkatesa reddy D. very good demonstration

2017-09-16, 19h08
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Saif A. Fantastic and clear teaching points
Thank you

2017-12-18, 6h38
- Max A. Thank U
  
  2017-12-18, 9h52
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Left main coronary stenting by polymer free stent. OCT evaluation

Recorded Case from Louis Pasteur Clinic. Nancy, France