“Two Critical Arteries, One Life: A Complex PCI Case”

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In this video, we present a high-risk interventional cardiology case involving severe multivessel coronary artery disease, where two major coronary arteries required stent implantation.

Coronary angiography revealed a near-total occlusion of the proximal LCX, along with a long, critical, and heavily calcified lesion in the LAD. While the RCA showed only mild stenoses and was managed medically, the left coronary system required urgent intervention.

The video walks through the case step by step, including:
• Diagnostic coronary angiography
• Lesion assessment using multiple angiographic views
• Technical challenges during PCI
• Use of dual guidewires for additional support
• Balloon predilatation and post-dilatation
• Stent deployment in both LCX and LAD, including a two-stent strategy for a calcified LAD lesion

Final angiographic images demonstrate excellent stent expansion, restored vessel diameter, and normalization of coronary flow, highlighting the importance of precise technique and strategic decision-making in complex PCI cases.

This case emphasizes how timely intervention, proper planning, and meticulous execution can be truly life-saving.

#InterventionalCardiology
#PCI
#ComplexPCI
#LAD
#LCX
#MultivesselDisease
#CardiacCathLab
#CoronaryStenting
#CalcifiedLesion
#MedicalEducation
#HeartIntervention
Categoria
Cardiology
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