79/F with angina and moderate-severe AS. Transferred for PCI from another hospital after diagnostic cath showing LAD and RCA disease. For TAVI in the near future. No imaging was used. The case is about aorto-ostial disease is a subset of calcific lesions that have different rules of treatment. They require more respect than just coronary calcium. 03.mp4
Prox LAD and mid RCA and aorto-ostial RCA disease. Prox LAD and mid RCA stented succesfully. Ostial RCA predilated with NC and 3.5 IVL, then stented with 4.0x18 stent with immediate ostial dog-boning sign. Long battle followed with 3.5 and 4.0 OPN at 40 atm, 3.5 IVL. Unsuccessful. Referred to our complex PCI program. 21 OPN 4.0.mp4
Lots of teaching points and step-by-step rota of fresh ostial stent with dog boning.How to prevent it and if you are to deal with this situation - how to fix it. The power point has it all but limited space here.