IVUS-Guided LM Stenting

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We can treat the <strong>LM</strong> disease in a case of MLA < 6.0 mm 2 … Prediction of FFR (0.75) with <strong>IVUS</strong> parameter 2.8mm 5.9mm 2 67% 50% Monday, December 7, 2009 Jasti V et al. Circulation 2004;110:2831
Plaque Characterization • Lesion preparation : need of rotablation, debulking • Drug : need of IIb/IIIa, aggressive antiplatelets Fibrous plaque Plaque rupture Thrombi Calcification Monday, December 7, 2009 Courtesy of Dr. Gary S. Mintz
Page 1 and 2: IVUS-Guided LM Stenting Technique a
Page 3 and 4: Monday, December 7, 2009 It took 1.
Page 5 and 6: Monday, December 7, 2009
Page 7 and 8: Monday, December 7, 2009
Page 9 and 10: Upgrade of Recommendation for PCI a
Page 11 and 12: An IVUS-guided stepwise approach ma
Page 13 and 14: Treat or not Treat Big discrepancy
Page 15: Treat or not Treat 0 1.0 4.0mm Mond
Page 19 and 20: Ostial and Shaft LM lesions Monday,
Page 21 and 22: Normal : LAD ostium, bifurcation an
Page 23 and 24: Stenting with Xience V 4.0 x 15mm I
Page 25 and 26: Os and Shaft LM stenting 2-Year Out
Page 27 and 28: Treatment for Bifurcation LM 1-sten
Page 29 and 30: IVUS-guided, Lesion-specific Single
Page 31 and 32: Decision-Making of LM Lesion by IVU
Page 33 and 34: One-Stent Technique Predilation Mon
Page 35 and 36: One-Stent Technique Predilation Xie
Page 37 and 38: One-Stent Technique Predilation Xie
Page 39 and 40: IVUS at Ostial LCX Carina Shift wit
Page 41 and 42: Unadjusted Outcomes of MAIN-COMPARE
Page 43 and 44: LM with 3 Vessel Disease • 76 Yr
Page 45 and 46: Monday, December 7, 2009 Mild Ostia
Page 47 and 48: Side branch assessment LM LAD LCX L
Page 49 and 50: Single stent IVUS-guided, Lesion
Page 51 and 52: Stenting in LAD and LCX Followed by
Page 63 and 64: Monday, December 7, 2009 Final Resu
Page 65 and 66: MAIN-COMPARE in Korea Unadjusted Ra
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Goal of LM Stent Area > 9 mm 2 % 10
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Practical Goal of Stent Area •
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IVUS-Guided LM Stenting • Lesion
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DES-ISR at LMCA A patient was trans
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LMCA-ISR due to.. • Under-expansi
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ISR at LMCA Crush Technique with Xi
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Final Ostial LCX (6.5mm 2 ) Ostial
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Is there clinical impact ? IVUS gui
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Three-year Clinical Outcomes Overal
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Hazard Ratios of Clinical Outcomes
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Death DES Population 99.2 97.8 97.4
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Event Rate, % Three-year Clinical O
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IVUS Guided Procedures • IVUS eva
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To educate and understand LM PCI Or
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PRECOMBAT-2 PREmier COMparison of B
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Monday, December 7, 2009 Maybe we d
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Thank You !! summitMD.com Monday, D
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IVUS-Guided LM Stenting

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