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A rare anomalous LM left main originating from the right coronary cusp, IVL PCI! #shockwaveivl #pci

Abdrhman Hamo2:26

Transcription

Hi, this is Dr. Ham, and today I'm sharing with you this anomalous, um, uh, corner. You have the um, left main or late system all coming from the right cusp. We have an 83-year-old uh, presented with abnormal stress test inferior, and we have this um, JR4. There is no um, left system except this coming from the um, RCA. You have the RCA; it's a tight lesion here at the OIA, and we have patent stand here, and here is the left system, left main LED circ.

So the JR, we have um, to make it more interior, and we have two wires. Actually, the wire kept going toward the anomalous um, left system, and then I put another wire to support it in the um, Konis branch, and then advanced the wire here toward the um, RCA. And now, place and land it in the RCA, and then place the other um, wire in the left um, main or um, left system.

And we have now—this is a different view actually; the um, this is a different view, too. And here we're going to start the intervention, actually, 2 then M30 shock wave. And here is after the M30 shock wave. And here, deploying a 35 um, mm stent at high pressure, then pull it toward the aorta. I also cleared the OA at high pressure. Here is after.

So I find the stool needs to be post-dilated. So, I did a 40 x 8 mm um, NC balloon. And here's the final result.