OSTIAL LAD CTO.

Описание к видео OSTIAL LAD CTO.

45y asthmatic patient. H/o NSTEMI.
ostial LAD CTO and thombotic lesion of RI.
refused CABG by patient.
failed attempt to lad at OSH.
still not willing for CABG.
referred for pci.
LAD CTO with caravel XT escalated to Gaia 1st to cross CTO.
stented at mid segment then Ostium.
initial plan to do only ostial stenting and then stenting of RI without involving the lms.
but lad stent seems to be hanged in lms so decided to do the lms to RI stenting while crushed the ostial lad stent.
pot, KBD then repot.
final IVUS. well expended stent of lms and good ostial coverage of both branches.

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