Complex PCI: Everything is Complex in Shock!-Case: When to Use Two Stents in Coronary Bifurcation

Case: When to Use Two Stents in Coronary Bifurcation

Video Transcription

Video Summary

The presentation discussed a complex case of a 71-year-old man with a STEMI and cardiogenic shock due to occlusion in the left main coronary artery. Despite an initial trial enrollment, the patient's instability necessitated a different approach involving Impella support and a two-stent strategy with kissing stents to address high thrombus burden and bifurcation lesions. The patient showed substantial recovery post-procedure. The talk highlighted current guidelines and trials comparing DK-CRUSH and provisional stenting, noting a lack of data specific to treating left-main bifurcation in cardiogenic shock scenarios. Emphasis was placed on simplicity in such treatments.

Asset Subtitle

Ramesh Mazhari, MD

Keywords

STEMI

cardiogenic shock

Impella support

bifurcation lesions

DK-CRUSH