Video : Tandem LAD lesions management : severe distal lesion stented and eccentric proximal lesion with FFR evaluation

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Cardiology / Coronary / Pci / Case in the box

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Management of tandem lesion. Selective and sequential evaluation by FFR.

Clinical background

75 years old patient with angina pectoris with a positive stress-echo test
tight stenosis of the distal LAD
birfurcation of the first diagnonal branch and the mid LAD who present a extreme tight stenosis

Description

Radial approach
FFR evaluation
Selective stenting distally
Proximal evaluation and stenting

Learning points

Use of FFR to assess and manage multiple lesions along the coronary artery
Interests of polymer free stent

Shooting date : 2016-03-22
Last update : 2017-10-31