Webinar 9 | Women in Interventional Cardiology: Complex Bifurcation Cases-Case presentation, Dr. Arasi Maran

Video Transcription

Video Summary

Dr. Maran presented a complex case of a 72-year-old male with severe multivessel coronary artery disease, including unprotected left main disease, challenging anatomy, and comorbidities. After assessing high surgical risks, they opted for high-risk percutaneous coronary intervention (PCI) using the DK crush bifurcation stenting technique. Challenges included difficult arterial access and wiring, extensive lesion preparation without heavy calcification, and complex stent deployment requiring multiple balloons and wires. Discussion focused on optimal balloon sizing for crushing, use of intravascular imaging, lesion prep tools like cutting balloons or shockwave therapy, and technical tips to improve guide support and wiring during PCI.

Keywords

multivessel coronary artery disease

unprotected left main disease

high-risk PCI

DK crush bifurcation stenting

intravascular imaging