{"id":8947,"date":"2018-12-17T11:03:00","date_gmt":"2018-12-17T17:03:00","guid":{"rendered":"https:\/\/shockwavemedical.com\/education\/heavily-calcified-lm-trifurcation-with-hemodynamic-support\/"},"modified":"2024-12-17T09:52:08","modified_gmt":"2024-12-17T15:52:08","slug":"heavily-calcified-lm-trifurcation-with-hemodynamic-support","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/en-eu\/education\/heavily-calcified-lm-trifurcation-with-hemodynamic-support\/","title":{"rendered":"Heavily Calcified LM Trifurcation With Hemodynamic Support"},"content":{"rendered":"\n<section id=\"block_22540e5fac91151613b1355c9c41fee7\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>Case submitted by Jonathan Hill, King\u2019s College<\/p>\n<p><strong>Summary: <\/strong>Unprotected left main (LM) trifurcation with heavy calcium throughout LM, left anterior descending artery (LAD), left circumflex artery (LCX), and at ostia of trifurcation; hemodynamic support with temporary pump; Shockwave IVL administered along LAD, LCX, LM and at the ostia of LCX, LAD, and Ramus; drug-eluting stents (DES) placed in LM and all three vessels with good expansion and apposition (demonstrated with OCT).<\/p>\n<p>\u00a0<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-8937 lazyload\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case-300x126.png\" alt=\"\" width=\"1200\" height=\"504\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case-300x126.png 300w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case-1024x430.png 1024w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case-768x323.png 768w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case-1536x645.png 1536w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Dr.-Jonathan-Hill-Case.png 1752w\" data-sizes=\"(max-width: 1200px) 100vw, 1200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1200px; --smush-placeholder-aspect-ratio: 1200\/504;\" \/><\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Learn more about the use of Shockwave IVL in a case with heavily calcified LM trifurcation with hemodynamic support. <\/p>\n","protected":false},"author":14,"featured_media":8942,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[203,402],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[17,1],"tags":[],"disease-state":[159],"education-topic":[187,195],"product-tag":[255,251],"specialty":[295,328,332,336,344],"technology":[316],"class_list":["post-8947","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-en-uk","category-uncategorized","disease-state-coronary-artery-disease-en-uk","education-topic-case-reviews-en-uk","education-topic-peer-to-peer-en-uk","format-article-en-uk","format-case-en-uk","product-tag-shockwave-c2-en-uk-2","product-tag-shockwave-c2-en-uk","specialty-fellows-residents-en-uk","specialty-interventional-cardiologists-en-uk","specialty-interventional-radiologists-en-uk","specialty-nurses-technologists-en-uk","specialty-vascular-surgeons-en-uk","technology-coronary-ivl-en-uk"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/8947","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/comments?post=8947"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/8947\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media\/8942"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media?parent=8947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/categories?post=8947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/tags?post=8947"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/disease-state?post=8947"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/education-topic?post=8947"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/format?post=8947"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/product-tag?post=8947"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/specialty?post=8947"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/technology?post=8947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}