Webinar 11 | LM Trifurcation-Case: LM Trifurcation in AMI Cardiogenic Shock, Dr. Gautam Kumar

Case: LM Trifurcation in AMI Cardiogenic Shock, Dr. Gautam Kumar

Video Transcription

Video Summary

Dr. Kumar discusses managing left main trifurcation in unstable patients with AMI cardiogenic shock, emphasizing clear goals and simplicity. Using a real-time case of a 69-year-old man with late-presenting STEMI, he highlights the importance of early mechanical circulatory support, imaging, and rapid interventions to stabilize flow in critical branches. The approach involved stenting multiple vessels with careful planning to preserve viable myocardium, avoiding prolonged balloon inflations. The patient improved post-procedure but retained low ejection fraction requiring ICD. Key takeaways include tailored strategies prioritizing vital vessels, use of impella for support, and minimizing procedural delays to improve outcomes in complex bifurcation/trifurcation lesions.

Keywords

left main trifurcation

AMI cardiogenic shock

mechanical circulatory support

stenting strategies

impella device