Non - culprit left main coronary intervention after a RCA PCI on an acute myocardial infarction with inferior stsegment elevation
J. Transcatheter Interv
; 31(supl.1): 51-52, jul.-set. 2023. ilus.
Article
in En
| CONASS, SES-SP, SESSP-IDPCPROD, SES-SP
| ID: biblio-1512826
Responsible library:
BR79.1
ABSTRACT
Decision Making Non-culprit LM lesion after PCI of RCA in an ACS - Low Syntax Score Syntax Score I 13 and Syntax score 2020 17,1; with low risk of bleeding PRECISE-DAPT 14 - Heart Team determined LM should be treated by PCI - It was predetermine PCI guided by IVUS - Initial planning Implant a DES in LM > DA; provisional technique. Clinical Evolution after PCI - PCI was sucesful without any complications - Patient was discharge after 24 hours in optimal conditions Conclusions - STEMI is associated with multivessel disease in aprox. 40% of cases - Non-culprit lesion of LM is always a challenge - PCI guided by IVUS was useful to maintain the initial plan (provisional technique) and determine the non important lesion in LCX ostium - IVUS after PCI help in the optimization of the LM PCI - POT is one of the most important steps in any bifurcation PCI - If possible every LM PCI should be guided by IVUS.
Full text:
1
Collection:
06-national
/
BR
Database:
CONASS
/
SES-SP
/
SESSP-IDPCPROD
Language:
En
Journal:
J. Transcatheter Interv
Year:
2023
Document type:
Article
/
Congress and conference