A complex LAD diagonal bifurcation case by Dr. Shigeru Saito 

At the end was caotic, missing final kissing lad/dx ivus da tci and pot da tci. I learn a lot

Very interesting case. Congratulation team!

I learnt so many things which should not have been done during pci😂

I believe they can plan a 2nd procedure 2-3 days later for: 1) KPI mid LAD/Dia then 2)POT all the way up to the LM (IVUS guided). Notes: This an atypical way to do mini crush, after delivering the diagonal stent, one would use the GC extension to deliver the LAD stent first. Deploy lcx stent, then remove stent Balloon and wire from lcx then deploy LAD stent. Would have saved time. 7F guide was in place for that.

Thanks for your challenging case,excellent,but may I please me to tell me about your bifurcation technique? And why did you do not post dilation? Are you unbeliver to post dilation witn N.C ?thanks again

Sorry to see the final destruction of the proximal stent in the left main stem…

postdilatation D1 ?

Pot. ?

NO KISSING balloon inflation?? NO POT of LM? Final IVUS?

И так сойдёт!

This is an embarrassing procedure from start to finish