Heavily calcified LM trifurcation with hemodynamic support
Jonathan Hill, King’s College
Unprotected LM trifurcation with heavy calcium throughout LM, LAD, LCX, and at ostia of trifurcation; hemodynamic support with temporary pump; IVL administered along LAD, LCX, LM and at the ostia of LCX, LAD, and Ramus; DES placed in LM and all 3 vessels with good expansion and apposition (demonstrated with OCT).
Baseline
![cad case7a](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case7a.png)
IVL in All Three Vessels Including LM
![cad case7b](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case7b.png)
Final Results
![cad case7c](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case7c.png)