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How do you treat diffuse LAD?

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Joaquim Spadoni Barboza

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21,037 Aufrufe • vor 1 Monat •via X (Twitter)

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9 Kommentare

Profilbild von jedicath աǟզǟʀ.ǟɦʍɛɖ
jedicath աǟզǟʀ.ǟɦʍɛɖvor 1 Monat

Proximally would stent it. The very Distal will leave it.

Profilbild von Jack Hall
Jack Hallvor 1 Monat

Prox DES. Distal CBA + DCB?

Profilbild von Doç. Dr. Hüseyin Katlandur
Doç. Dr. Hüseyin Katlandurvor 1 Monat

Distal DCB proximal DES

Profilbild von Louis Verreault-Julien, MD, MPH
Louis Verreault-Julien, MD, MPHvor 1 Monat

I would stent LM to mLAD and DCB the distal lesions. The dLAD is collateralized so I would be very tolerant with dissections to avoid stenting it

Profilbild von Gopala Krishna Koduru
Gopala Krishna Koduruvor 1 Monat

Hybrid, DES prox. DCB to distal.

Profilbild von Dr. Sheikh Jan M.
Dr. Sheikh Jan M.vor 1 Monat

LM>LAD DES , POBA/DCB TO DISTAL LAD

Profilbild von Yasir
Yasirvor 1 Monat

DES for prox LAD ,,DCB for dLAD

Profilbild von Hany Ragy
Hany Ragyvor 1 Monat

@murshid_eyad2 Treat the ostial lesion leave the apical for medical treatment

Profilbild von Vasim Lala D.O. FACC, FSCAI, RPVI
Vasim Lala D.O. FACC, FSCAI, RPVIvor 1 Monat

I would fix proximal. You have a landing zone. Distal LAD - DCB if you have them. I would fix LCX focal lesion for sure. You should be fine with IVUS guided PCI and good vessel preparation. This is not a good artery for LIMA unfortunately.

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