Bifurcation Club: Latin American Cases-Bifurcation Case Presentation

Video Transcription

Video Summary

The video transcript discusses a complex medical case presented during a professional meeting. It involves a 79-year-old man with a history of multiple health issues, including hypertension, diabetes, and coronary artery disease. The patient recently experienced chest pain and was diagnosed with acute coronary syndrome, leading to unstable conditions. Medical professionals debated the best treatment strategies, including Percutaneous Coronary Intervention (PCI) and the potential use of support devices like Impella, considering the patient's severe calcification in coronary arteries and access challenges. They explored options like balloon angioplasty and rotational atherectomy for plaque modification. Ultimately, the patient underwent PCI with successful stent deployment despite complications, using techniques guided by intravascular imaging (IVUS). The discussion highlights the importance of cardiovascular imaging and careful procedural planning, especially given the patient's complex vascular status and high surgical risk.

Asset Subtitle

Ricardo Costa, MD, FSCAI

Keywords

acute coronary syndrome

Percutaneous Coronary Intervention

intravascular imaging

rotational atherectomy

cardiovascular imaging