IVUS-Guided LM Stenting

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<strong>IVUS</strong> Exam is very useful to assess… 1. vessel size and lesion length 2. presence of bifurcation stenosis 3. optimal stent expansion with complete apposition Monday, December 7, 2009
Normal : LAD ostium, bifurcation and shaft Mild disease : LCX ostium Monday, December 7, 2009
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 and 16: Treat or not Treat 0 1.0 4.0mm Mond
Page 17 and 18: Plaque Characterization • Lesion
Page 19: Ostial and Shaft LM lesions Monday,
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
Page 67 and 68: Goal of LM Stent Area > 9 mm 2 % 10
Page 69 and 70: Practical Goal of Stent Area •
Page 71 and 72:
IVUS-Guided LM Stenting • Lesion
Page 73 and 74:
DES-ISR at LMCA A patient was trans
Page 75 and 76:
LMCA-ISR due to.. • Under-expansi
Page 77 and 78:
ISR at LMCA Crush Technique with Xi
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Final Ostial LCX (6.5mm 2 ) Ostial
Page 85 and 86:
Is there clinical impact ? IVUS gui
Page 87 and 88:
Three-year Clinical Outcomes Overal
Page 89 and 90:
Hazard Ratios of Clinical Outcomes
Page 91 and 92:
Death DES Population 99.2 97.8 97.4
Page 93 and 94:
Event Rate, % Three-year Clinical O
Page 95 and 96:
IVUS Guided Procedures • IVUS eva
Page 97 and 98:
To educate and understand LM PCI Or
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PRECOMBAT-2 PREmier COMparison of B
Page 101 and 102:
Monday, December 7, 2009 Maybe we d
Page 103:
Thank You !! summitMD.com Monday, D
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IVUS-Guided LM Stenting

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