lad d1 bifurcation lesion crush technique 35yr old male
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LAD/D1 bifurcation lesion. Crush technique. 35yr old male.

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LAD/D1 bifurcation lesion. Crush technique. 35yr old male. 2. EBU 3.5 8F guide RAO 10 view. Severe stenosis at origin of first diagonal (D1). Mild LAD stenosis (arrowed) 3. LAO cranial view. To show ostial stenosis of first diagonal (D1) and LAD stenosis (arrowed)

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slide2

2. EBU 3.5 8F guide RAO 10 view. Severe stenosis at origin of first diagonal (D1). Mild LAD stenosis (arrowed)

3. LAO cranial view. To show ostial stenosis of first diagonal (D1) and

LAD stenosis (arrowed)

4. LAO cranial view, HTF Wires down both LAD and D1. Balloon dilatation D1 with 2.5 x 12 balloon

5. LAO cranial view. Result of balloon only dilatation of D1.

6. LAO cranial view. Stents positioned in LAD (3.5 x 16 DES) and D1 (3 x 16 DES) LAD overlaps D1 stent slightly proximally. D1 stent deployed.

7. LAO cranial view. D1 wire removed. LAD stent deployed.

8. LAO cranial view. Result of D1 and LAD stent deployment.

9. LAO cranial view. D1 rewired through LAD stent. Kissing balloon

inflation in LAD and D1.

10. LAO cranial view. Wires removed. Final result.

slide3

OM

LCx

D1

LAD

slide4

LCx

D1

LAD

slide5

D1

LAD

slide6

LCx

D1

LAD

slide7

LAD

D1

slide9

LCx

D1

LAD

slide11

LCx

D1

LAD

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