aVR-the forgotten EKG lead in ACS.!Left main LM 90% ostial calcified lesion. IVL lithotripsy & PCI.
Автор: Abdrhman Hamo
Загружено: 2025-03-17
Просмотров: 3696
aVR- the forgotten EKG lead in ACS.
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82 yo male patient with respiratory failure and Acute MI
ST elevation aVR with reciprocal antero lateral STD.
Left main ostial to proximal 90% calcified lesion.
JL 4 guide catheter.
Runthrough 1 wire for intervention.
Runthrough 2 wire was used as a “buddy wire”initially then was used as a “ Floating wire “ in the aortic root.
2.0 mm semi compliant wire
3.0 mm NC balloon
3.5 mm shockwave lithotripsy balloon.
DES 4.5 x12 mm Onyx Frontier.
IVUS: post PCI: A "well-apposed stent” with nice coverage ostially and proximally. The Distal left main has a moderate stable lesion ( 8mm2 , 52% sectional stenosis stable lesion )
Post dilated with 5.0x12 NC balloon .
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