Emergency coronary revascularization of the left coronary bifurcation lesion with complex anatomy under optical coherence tomography guidance

Authors: Petrosian K.V., Losev V.V., Golukhova E.Z.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Case reports

DOI: https://doi.org/10.24022/1997-3187-2021-15-4-524-533

For citation: Petrosian K.V., Losev V.V., Golukhova E.Z. Emergency coronary revascularization of the left coronary bifurcation lesion with complex anatomy under optical coherence tomography guidance. Creative Cardiology. 2021; 15 (4): 524–33 (in Russ.). DOI: 10.24022/1997-3187-2021-15-4-524-533

Received / Accepted:  20.02.2021 / 02.12.2021

Keywords: percutaneous coronary arteries optical coherence tomography stenting of coronary arteries

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Percutaneous coronary intervention (PCI) is the primary treatment of acute coronary syndrome in modern practice. Emergency hospitalisation of the patient “from the door to the cathlab” during the shortest time interval is the primary strategy for reducing the incidence of major cardiovascular complications and minimising consequences of ischemia for the myocardium. The main challenge in managing patients with the acute coronary syndrome (ACS) for an interventional cardiologist is the unknown, namely: the unknown anatomy of the coronary arteries, the nature and exact extent of the lesion, and the reliable cause of the development of acute vascular occlusion. In this regard, the use of invasive methods of intravascular imaging, in particular optical coherence tomography, can not only guide the operating surgeon, but also radically change the strategy and approach to performing PCI with maximum benefit for the patient, guided by the principle – “I see it, and now I can treat it”. This case report describes a complex endovascular myocardial revascularisation in an aged patient with ACS with atypical coronary anatomy.


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About Authors

  • Karen V. Petrosian, Dr. Med. Sci., Head of the Department; ORCID
  • Vladimir V. Losev, Cand. Med. Sci., Endovascular Surgeon; ORCID
  • Elena Z. Golukhova, Dr. Med. Sci., Professor, Academician of RAS, Director; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery