European Bifurcation Club 2024 Enduring-Case: Provisional LM-current EBC approach

Video Transcription

Video Summary

Dr. Yves Louvard presented the European Bifurcation Club's current approach to bifurcation stenting, focusing on a case involving a 77-year-old male with stable angina and significant coronary artery disease. Using a trans-radial coronary angiography, the patient was diagnosed with left main bifurcation stenosis, middle LAD complete occlusion, and RCA proximal stenosis. The treatment strategy favored PCI, considering the patient's good renal function and algorithmic scoring. Dr. Louvard emphasized using a double stenting technique with T or TAP procedures, selecting larger stents for better scaffolding and utilizing dedicated QCA for precise sizing. The procedural strategy includes several inflations for optimal deployment and stent selection adjustments based on anatomical and procedural insights. This case was important for Dr. Louvard, as it was his last PCI procedure, highlighting advanced strategies in bifurcation stenting and presenting novel insights into stent sizing and deployment within complex coronary structures.

Asset Subtitle

Yves Louvard, MD, FSCAI

Keywords

bifurcation stenting

coronary artery disease

double stenting technique

trans-radial coronary angiography

PCI strategy