SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-Culotte Case Presentation

Video Transcription

Video Summary

The video discusses a case of a diabetic male in his 60s with chest discomfort and non-STEMI. The angiogram shows lesions in the circumflex marginal system and the osteomarginal large marginal branch. The physicians discuss the stenting technique to use, considering a two-stent strategy with a culotte technique. They debate between a provisional approach and upfront two-stent strategy, ultimately deciding on the two-stent strategy due to the disease in both branches. The video then goes on to describe the procedure, including wire insertion, balloon dilatation, and stent placement in the affected vessels. They also discuss the use of high-pressure inflation during the kissing balloon technique. Overall, the procedure is successful, resulting in an improved angiogram. No credits were mentioned in the video.

Asset Subtitle

S. Tanveer Rab, MD, FSCAI

Keywords

diabetic male

angiogram

two-stent strategy

stent placement

kissing balloon technique