A complex LAD diagonal bifurcation case by Dr. Shigeru Saito

The day concluded with a complex LAD diagonal bifurcation case by Dr. Shigeru Saito, demonstrating his adept skills in managing it under IVUS guidance, utilizing a guide extension catheter and rotational atherectomy.
Shigeru Saito, MD
Director of Cardiology and Catheterisation Laboratories
Department of Cardiology and Catheterization Laboratory, Shonan Kamakura General Hospital, Kamakura, Japan

[@dr.Lethangcardio]

Very interesting case. Congratulation team!

[@danielhdez3041]

At the end was caotic, missing final kissing lad/dx ivus da tci and pot da tci. I learn a lot

[@MuhammadYasir-jl2fm]

I learnt so many things which should not have been done during pci😂

[@tom11298]

I believe they can plan a 2nd procedure 2-3 days later for:
1) KPI mid LAD/Dia then
2)POT all the way up to the LM (IVUS guided).
Notes:
This an atypical way to do mini crush, after delivering the diagonal stent, one would use the GC extension to deliver the LAD stent first. Deploy lcx stent, then remove stent Balloon and wire from lcx then deploy LAD stent. Would have saved time. 7F guide was in place for that.

[@andrewverbenko4670]

I believe that they can make POT in 2-3 minutes, also using balloons from stent. Without any moves and money.

[@sigvekarlsen1047]

Sorry to see the final destruction of the proximal stent in the left main stem…

[@bekzodbahramov8290]

Pot. ?

[@163ROTAX]

postdilatation D1 ?

[@donlamone818]

NO KISSING balloon inflation?? NO POT of LM? Final IVUS?

[@jalalostovan5995]

Thanks for your challenging case,excellent,but may I please me to tell me about your bifurcation technique? And why did you do not post dilation? Are you unbeliver to post dilation witn N.C ?thanks again

[@andrewverbenko4670]

И так сойдёт!

[@user-cn5ij3yf3h]

😂😂 он подумал так же

[@luca.falco88]

This is an embarrassing procedure from start to finish