Tandem LAD lesions management : severe distal lesion stented and eccentric proximal lesion with FFR evaluation

Management of tandem lesion. Selective and sequential evaluation by FFR.

Clinical background

• 75 years old patient with angina pectoris with a positive stress-echo test
• tight stenosis of the distal LAD 
• birfurcation of the first diagnonal branch and the mid LAD who present a extreme tight stenosis

Description

• Radial approach
• FFR evaluation
• Selective stenting distally
• Proximal evaluation and stenting

Learning points

• Use of FFR to assess and manage multiple lesions along the coronary artery
• Interests of polymer free stent