bifurcation lad/d2 lesion. provisional t stenting. additional stenting of d1 lesion. 43 yr old man
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Bifurcation LAD/D2 lesion. Provisional T stenting. Additional stenting of D1 lesion.
43 yr old man
2. JL 3.5 8F guide. PA cranial view. Tight stenosis in proximal first diagonal
(D1), Stenosis in mid LAD at bifurcation with second diagonal (D2).(Arrowed)
3. LAO cranial view to show both lesions (arrowed).4. PA cranial view. LAD and diagonal wired. (HTF wires).
Result of balloon dilatation of both vessels (3.0 x 15mm balloon)5. PA cranial view. Diagonal wire withdrawn. LAD stent deployed (3.5 x 15
BMS).6. PA cranial view. Result of LAD stenting. Good LAD result. Fair result at
D2 origin without additional D2 stenting.
7. PA cranial view. D2 rewired through LAD stent. Kissing balloons in LAD and D2 (3.5 x 13mm balloons)
8. LAO cranial view. Final result in LAD and D2. (LAD stent and D2 POBA)
9. PA cranial view. Stenting of D1 stenosis with 3.0 x 12mm BMS stent10. PA cranial view. Final result in all three vessels
LAD
D2 LAD
D1
LAD
D2
D1
LCx
LAD
D2
D1
LAD
D2wire
LAD
D2
D1
LAD D2
LAD D2
D1
LCx
LAD D2
D1
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