1. Solaci at EuroPCR. Complex left main PCI Patient presentation

2. Complex eft main bifurcation PCI Male, VZM, 54
Risk factors
DM2 (insulin-dependent)
Hyperlipidaemia
Smoker
Life style
Active
Psychological status
Normal, no cognitive impairment

3. No Prior clinical history
Clinical presentation
One month history of episodes of chest pain at rest and during exertion (15-20 min)
Admitted after an episode of chest pain at rest with no dynamic ECG changes

4. Laboratory investigations
Biomarkers:
TnI: <0.01, CK: 130 (1st )
TnI: <0.01, CK: 113 (2nd)
Creatinine: 0.88 gr/dl
Clearance creatinine: 97 ml/min
Hb: 16 gr/dl
Platelets:
Total cholesterol: 217 gr/dl
HDLc: 33 gr/dl
LDLc: 44.4 gr/dl

5. Non-invasive evaluation
ECG: sinus rythm, 75 bpm, normal repolarisation
Exercise test: ECG positive with ST depression in inferior leads. Clinically

6. Baseline angiography Medina 0-1-0
Please select the best stop frame image: no AVI’s please, 2 images max

7. Baseline angiography

8. Risk evaluation Angiographic Syntax score = 12 Syntax score II:
PCI: (PCI 4 Year Mortality: 2.5 %)
CABG: 16.2 (CABG 4 Year Mortality: 2.2 %) 
  Treatment recommendation: equipoise for CABG or PCI
STS score = 0.362
EuroSCORE (mortality logistic) = 1.54

9. Key clinical data & angiographic reference
54 year old male. Diabetic, smoker. Progressive angina with positive exercise test . Severe stenosis ostial LAD