Highly Complexed Heavily Calcified LCx with OM2 CTO Trifercation Lesion Treated with Crush and Mini Culotte Technique

procedure :

B/L radial approach , OM1 highly calcified lesion treated with High pressure balloon and OM2 CTO opened with CTO wires and Trifercation lesion treated with Culotte and Minicrush technique, with excellent final result with TIMI III flow.

Conclusion :

Successful treatment of hıghly calcified lesion with high pressure balloon(34 ATM pressure)

Successful opening of CTO lesion with multiple wire manupulation through stent struts.

Successful stenting of trifercating complex lesion with Crush and Mini Culotte technique.

KEYWORDS:

Calcified lesion(s), chronic total occlusion, left circumflex, trifurcation.