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Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report

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World Journal of Clinical Cases 2020年第4期8卷 848-853页

作者： Bei-Bei Du Ya-Liang Tong Xing-Tong Wang Guo-Hui Liu Kun Liu Ping Yang Yu-Quan He Department of Cardiology China-Japan Union Hospital of Jilin UniversityJilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular DiseaseChangchun 130031Jilin ProvinceChina Department of Hematology and Oncology Cancer CenterThe First Hospital of Jilin UniversityChangchun 130031Jilin ProvinceChina

BACKGROUND Coronary intervention for bifurcation lesions is still challenging for interventional *** main(LM)bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is *** compromise of the side branch decreases patient prognosis,and its management is still an issue despite the different strategies and devices *** SUMMARY A 42-year-old male patient was admitted to hospital due to chest pain and *** angiography showed acute LM *** thrombus aspiration,a LM bifurcation lesion *** angiography was repeated one week later,and at the same time,3D optical coherence tomography(OCT)was carried out to better show the geometry of the bifurcation,which confirmed that the stenosis in the ostial left circumflex artery was caused by a long *** assessment of the plaque characteristics and the minimum lumen area,the cross-over strategy,kissing balloon inflation and proximal optimization technique were chosen to treat the bifurcation lesion.A“moving”carina was found twice during the *** stent apposition and expansion were confirmed by OCT after proximal optimization *** three-month follow-up showed good recovery and normal cardiac *** 3D-OCT can facilitate decision-making for coronary interventions in patients with critical bifurcation lesions.

关键词： 3-Dimensional optical coherence tomography Left main bifurcation Acute myocardial infarction carina shift Kissing balloon inflation Case report

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