2. WASIQ 47YRS/M R/O DELHI
Chief c/o-
1-AOE NYHA class II for 2yrs
h/o HTN, No h/o DM
chronic bidi smoker
ECG- T wave inversion in V1-V6
2D ECHO-
No RWMA,LVEF 60%
4. True bifurcation- MB & SB are both
significantly narrowed (>50% diameter stenosis).
Non true bifurcations- all other lesions
5. Strategy of stenting the MV with provisional
SB stenting is the current favored approach.
Two stents strategy may be preferred, such as
in the presence of a large SB that supplies a
significant area of myocardium especially when
side branch arises at a shallow angle.
12. SECOND STENT IN SIDE BRANCH
AFTER PROVISIONAL APPROACH
T technique
Modified T technique—SB
stent first, when angle
between MB & SB is near
90 degrees