OCT-Guided DCB-plasty of LM Bifurcation for ISR of Ostial LCX during Follow-up of Provisional LM Bifurcation with LM to LAD Stenting
Researchers & Contributors
Sridhar Kasturi
Head
Department of Cardiac Sciences
KIMS Sunshine Hospital, Begumpet
Hyderabad
Case Videos
Video 1A
Three years ago, the final result was good with TIMI III flow without complications – Run A.
Video 1B
Three years ago, the final result was good with TIMI III flow without complications – Run B.
Video 2A
Current CAG: SVD with mild plaque in LM & LAD, 90% ostial LCX stenosis, and mild ISR in RCA – Run A.
Video 2B
Current CAG: SVD with mild plaque in LM & LAD, 90% ostial LCX stenosis, and mild ISR in RCA – Run B.
Video 2C
Current CAG: SVD with mild plaque in LM & LAD, 90% ostial LCX stenosis, and mild ISR in RCA – Run C.
Video 3
OCT study of LCX: Severe stenosis at ostium with MLA 0.9 mm².
Video 4A
Kissing balloon predilatation: LCX 3.5 × 12 mm, LAD 3.5 × 15 mm at 12–16 atm – Run A.
Video 4B
Further predilatation of LCX ostium with 3.0 × 10 mm AngioSculpt at 12–16 atm – Run B.
Video 4C
Final kissing predilatation sequence of LCX/LAD balloons – Run C.
Video 5
Post-scoring OCT: Well-dilated LCX ostium with MLA 8.5 mm².
Video 6A
Second KBI: Protege 3.5 × 30 mm (LAD) & 3.5 × 15 mm (LCX) at 6 atm × 30 secs × 3 inflations – Run A.
Video 6B
Second KBI sequences of balloon inflation in LAD & LCX – Run B.
Video 6C
Completion of second KBI with all inflations – Run C.
Video 7A
Final result: TIMI III flow, no complications – Run A.
Video 7B
Final result: TIMI III flow, no complications – Run B.
Video 7C
Final result: TIMI III flow, no complications – Run C.