SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-Case: Step Wise Provisional Two-Stent Technique

Video Transcription

Video Summary

The video features Dr. Yves Louvard, who is known for his work in bifurcation clubs and bringing attention to bifurcation procedures. He presents a case of left main bifurcation stenting on a 60-year-old woman with severe stable angina. The provisional stenting technique is used, which involves keeping the side branch open and using a salvage technique if needed. Dr. Louvard discusses the importance of wire insertion, wire rotation, and wire exchange, as well as the use of hydrophilic wire and balloon dilation. He also explains the technique of proximal optimization technique (POT) and the choice of stent sizing. The video highlights the challenges and potential complications in left main bifurcation stenting, such as stent distortion and neocarina formation. Dr. Louvard emphasizes the importance of proper stent alignment, careful wire manipulation, and optimal stent expansion. The presentation concludes with a discussion of long-term outcomes and the benefits of a stepwise provisional approach in bifurcation stenting.

Asset Subtitle

Yves Louvard, MD

Keywords

Dr. Yves Louvard

bifurcation clubs

bifurcation procedures

left main bifurcation stenting

provisional stenting technique