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Bailout emergency stenting of unprotected ostial left main coronary artery for acute catheter-induced occlusion during diagnostic coronary angiography Pankaj Jariwala Journal of Indian College of Cardiology Volume 5, Issue 2, Pages (June 2015) DOI: /j.jicc Copyright © 2015 Indian College of Cardiology Terms and Conditions
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Fig. 1 a, b: Coronary angiography in RAO caudal and LAO caudal showing severe ostial stenosis of the left main coronary artery. Except for mild plaque in the proximal segment of left anterior descending artery the rest of left coronary arteries were normal. c, d: Right coronary angiography showing the normal right coronary artery in LAO and AP cranial views. Journal of Indian College of Cardiology 2015 5, DOI: ( /j.jicc ) Copyright © 2015 Indian College of Cardiology Terms and Conditions
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Fig. 2 a, b: Check angiogram with the help of guiding catheter showing complete occlusion of the left coronary system with a small stump of the left main coronary artery in systolic and diastolic frames. c: Reperfusion of the left coronary system following crossing of guide wire across the left main coronary artery occlusion. [TIMI II flow]. d: Predilatation with 1.5 × 10 mm balloon. e: Check angiogram after predilatation in LAO cranial view which shows residual stenosis of the left main coronary artery. f: Positioning and inflation of drug eluting stent from ostium across the left circumflex artery to proximal segment of the left anterior descending artery. Journal of Indian College of Cardiology 2015 5, DOI: ( /j.jicc ) Copyright © 2015 Indian College of Cardiology Terms and Conditions
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Fig. 3 a: Post stenting the check angiogram showing brisk TIMI III flow in the left coronary system with no residual stenosis. b: Proximal optimization technique using non-compliant balloon across ostium of the left circumflex artery. c: Final angiogram in LAO caudal view showing no residual stenoses of left main coronary artery and left circumflex artery. Journal of Indian College of Cardiology 2015 5, DOI: ( /j.jicc ) Copyright © 2015 Indian College of Cardiology Terms and Conditions
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