IVUS指导下分叉病变一例——D1欺骗性狭窄.ppt

IVUS指导下分叉病变一例——D1欺骗性狭窄.ppt

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IVUS指导下分叉病变一例——D1欺骗性狭窄.ppt

* * * 蜘蛛位,ap头位偏右一点点 * 右肩位,AP头位 * MI 心梗,non-tvr 非靶血管血运重建 * Distal 远端 suffice满足 * IVUS Guided Bifurcation ---Case Report Dong, Liang Second Affiliated Hospital of ZJU Heart Center Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Disclosure Statement of Financial Interest I, Dong,Liang DO NOT have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Clinical Information Female, 53 yrs Recurrent chest discomfort for 20 yrs Aggressive chest pain for 1 week Hypertension (+) for 10 yrs Diabetes (-) Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Angiography Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Angiography Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Medina 分型? Bifurcation Classification: Medina Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center IVUS in LAD Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center IVUS in LAD Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center IVUS in D1 Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center IVUS in D1 Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center What’s Next? Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center Strategy of Bifurcation Lesion Second Affiliated Hospital of Zhejiang University School of Medicine Heart Center LESION ASSESMENT (IVUS and FFR) SB Diameter and Lesion Length D: 2.5 mm or L: 10 mm D: 2.5 mm or L: 10 mm One-Stent Technique with Provisional SB Stenting Two-Stent Technique Does the lesion contain any of the following: 1) Bifurcation Angle 70o 2) SB Di

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