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
IVL in All Three Vessels Including LM
Final Results

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