DES/BRS/DCB - DES/BRS/DCB
Sequential Mini Crush
Faisal Yousef Almajid1, Do-Yoon Kang2
Asan Medical Center, Kuwait1, Asan Medical Center, Korea (Republic of)2,
A 49 year old male ex-smoker and ethanol consumer. who is known diabetic, hypertensive and has a history of rheumatoid arthritis maintained on methotrexate.
Presented to clinic with effort angina.
ECG: LVH, early repolarization
Coronary CT showed severe discrete stenosis of the mid LAD, and diffuse mild stenosis of RCA, dLCx
1.avi 2.avi 38.avi
Glucose 152 mg/dlCreatinine .91 mg/dlHb 14.7 g/dlPlatelet 222LDL 48 mg/dl
distal left main to mid LAD stenosis
proximal RI stenosis- LAD bifurcation
proximal D1 stenosis-LAD bifurcation
The mini crush technique is a simple yet effective strategy for sequential bifurcation lesions and may be safely performed providing complete coverage of side branch ostiums and optimizing future side branch access.