Case 114: PCI Manual - DK troubleshooting 3

A patient with severe distal left main/proximal LAD/proximal circumflex disease was referred for PCI. The DK crush was selected as the stenting strategy. After wiring and predilating both vessels, a stent was placed in the circumflex, protruding 2-3 mm into the left main. A distal edge dissection was seen requiring placement of an additional stent. After crushing the circumflex stent, the circumflex was rewired, but balloon delivery failed. A Sapphire Pro 1.0 mm balloon was used, followed by a 2.0 mm and eventually a 2.5 mm balloon in the circumflex, successfully performing the first kissing balloon inflation. A stent was deployed from the left main into the LAD, but did not completely cover the lesion, requiring implantation of an additional stent distally. After POT, the circumflex was rewired, followed by 2-step kissing balloon inflation and a final POT with an excellent result.

[maxbean]

thanks for wonderful video!
i have some question
what kind of antiplatelet agent did you prescribe to patient?
and what is your long term strategy on antiplatelet agent in patients with LM bifurcation stenting?

[shangz]

Thanks for your educative presentation.

[hazemalbareda]

U are the best intervention cardiologist, teacher for the teachers

[dobryi_chel]

Thank You so much professor for interesting presentation! What is your opinion about kissing baloon technique between 1st septal and LAD? Because 1st septal is huge and compromised under the struts of stent.