Webinar 12 | DCBs in Coronary Bifurcation Lesions-Case: DCB Treatment for Side Branch Bifurcation, Dr. Fernando Alfonso

Case: DCB Treatment for Side Branch Bifurcation, Dr. Fernando Alfonso

Video Transcription

Video Summary

The speaker presents a case of a 93-year-old man with complex coronary artery disease treated successfully at Hospital Universitario de la Princesa. The patient had severe lesions in the left main, left anterior descending (LAD), and circumflex arteries. The team performed precise lesion preparation using dual balloon dilation before crossing over stenting from the left main to the LAD, optimizing the circumflex artery ostium with drug-coated balloons (DCV) rather than stenting, verified by OCT imaging. This provisional strategy avoided additional stenting, preserving vessel integrity and drug delivery. The patient recovered well, returning to normal life. Experts discussed timing of DCV relative to stenting and emphasized caution and individualized approaches.

Keywords

complex coronary artery disease

dual balloon dilation

drug-coated balloons (DCV)

left main to LAD stenting

optical coherence tomography (OCT)