Скачать с ютуб Left main Trifurcation stenting under Ivus guidance with RCA CTO and EF 35% в хорошем качестве

Left main Trifurcation stenting under Ivus guidance with RCA CTO and EF 35%

Cag osteal lad calcific 90% stenosis with distal left main involvement, osteal ramus and osteal lcx mild disease Femoral 7F Vasovagal, Guide not able to hook, 3 size EBU 7F, TPI inserted in 7F long sheath due to tortuous femoral vein, 3 wires, tortuous lcx wired, IVUS, proximal lad stented, lm to lad stented, ramus pinched Lcx wire recrossed, Ramus needed Fielder XT Ivus showed underexpansion in osteal lad and distal left main, post dilatation done again accordingly Sequential dilatation and final kissing inflation done in LCX/Ramus and Ramus/LAD followed by POT (not recorded ), Ivus well apposed and well expanded stent Procedure time 100min, Contrast volume 120ml PS - Note the three wires seen in IVUS and Concertina in LCX