Patient Admitted With

Angiography Profile

LMCA: Normal

LAD: Type III vessel, dual LAD mid 95% tight stenosis. II LAD large vessel, ostium tight stenosis

Diagonals: D1 small vessel, mild disease

LCX: Non-Dominant, distal mild disease

OMs: OM1 medium vessel, diffuse disease

RCA: Dominant, distal mild disease

PDA & PLVB: Moderate disease

Impression:

Double Vessel Disease

Advise:

PCI to Bifurcation LAD (2DES)

Procedure Detail

LESION BALLOON/STENT atm Time (sec)
D1 2.5*08 mm NC balloon pre dilatation 10 10
LAD 2.5*08 mm NC balloon pre dilatation 12 15
D1 2.75*16 mm ETERNIA 10 12
LAD 3.0*20 mm ETERNIA 10 12
D1 2.75*08 mm NC balloon pre dilatation 12 15
LAD 3.0*12 mm NC balloon pre dilatation 10 12
LAD & D1 2.75*08 mm & 3.0*12 mm minicrush technique 10 12

Result

PCI to a LAD bifurcation, performed with optimal stent deployment helped in preserving side branch patency by minimizing plaque shift, ensuring good flow dynamics, and enabling re-access if needed.