IVUS evaluation TAP technology for unprotected left main bifurcation lesions interventional therapy...
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Transcript of IVUS evaluation TAP technology for unprotected left main bifurcation lesions interventional therapy...
IVUS evaluation TAP technology for unprotected left main bifurcation lesions interventional therapy
Yong-Sheng Ke. MDDepartment of Cardiology, Yijishan Hospital, Wannan Medical College, Wuhu, Anhui 241001
Brief history
Male, 66yaer old, Spontaneous chest pain 2 days Past medical history: no hypertension no DM no lipid abnormal Smoking history:20 yrs, 20 cigarettes/d
Syntax score 39
LM 5*2=10Bifurcation=1
Calcification=2
13
LCX 1.5*2=3Bifurcation 1
Calcification 2Long lesion 1
7
pLAD 3.5*2=7Bifurcation 1
Calcification 2Long lesion 1
11
mLAD 2.5*2=5D1 1D2 1
Long lesion 18
Discuss IVUS is helpful for judgment Lesion and
guidance of stent implantation. Two stents of the left anterior descending
artery were not completely overlap ( 2mm gap ) .
IVUS had not found intimal dissection of stents exposed area,lumen diameter was large enough, we didn't need immediatly suppling a stent, waiting for further follow-up.