Chinese Bifurcation Summit (CBS): Left Main Bifurcations-Step-by-Step DK Crush with IVI

Video Transcription

Video Summary

The video presentation describes a complex case study of a 68-year-old male patient with hypertension and diabetes, suffering from recurrent chest pain. Diagnosed with unstable angina, the angiogram revealed a left main bifurcation lesion. The decay crush technique was employed to treat this, involving multiple steps including side branch stenting, main vessel balloon crushing, and rewiring with the guidance of intravascular ultrasound (IVUS). The procedure highlighted the importance of accurate wire positioning, optimization of stent expansion, and the advantages of using advanced imaging techniques to ensure precision. Different preferences regarding catheter sizes for radial or femoral approaches were discussed, along with the type of drug-eluting stents suitable for the procedure. The presentation emphasized on using higher-definition imaging systems for better results and discussed the considerations for stent expansion capability in different vessel sizes. Overall, the presentation aimed at improving the clinical outcomes using the decay crush method.

Asset Subtitle

Zhen Ge, MD

Keywords

unstable angina

decay crush technique

intravascular ultrasound

drug-eluting stents

angiogram