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Catalog
SCAI Bifurcation Club - A Case-Based Discussion
Bifurcation CTO, Dr. Arasi Maran
Bifurcation CTO, Dr. Arasi Maran
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Video Transcription
Video Summary
A 60-year-old female with severe PAD and reduced ejection fraction experienced significant cardiac issues following a CABG and left atrial appendage clip. She was referred for complex coronary intervention as her cardiac catheterization showed severe occlusions. The procedural plan, considering her condition and anatomy, included using a bifurcational PCI strategy. The operator opted for a DK crush approach due to the patient's left main anatomy, while ensuring the entire process was IVUS-guided. Despite the challenges, the intervention was successful in improving her ejection fraction and alleviating symptoms. Emphasis was also placed on the importance of support and skill in such complex cases.
Keywords
complex coronary intervention
DK crush approach
IVUS-guided
bifurcational PCI
severe PAD
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