Successful Management of NSTEMI in a 66-Year-Old Male Using DK Crush Technique for Complex Bifurcation Lesions
Keywords:
NSTEMI management, DK crush technique, Complex coronary lesions, Bifurcation lesions, Percutaneous coronary intervention (PCI).Abstract
Background: The management of non-ST elevation myocardial infarction (NSTEMI) in patients with complex coronary lesions poses significant challenges. The DK crush technique has emerged as a valuable option for addressing bifurcation lesions, ensuring optimal outcomes.
Case Presentation: A 66-year-old male with a history of hypertension presented with typical chest pain. ECG revealed dynamic ST-T changes, and cardiac biomarkers were positive, leading to a diagnosis of NSTEMI. Baseline echocardiography indicated hypokinetic anterior territory with an ejection fraction (EF) of 45% and no significant valvular pathology.
Results: Following the DK crush procedure, optimal stent placement was achieved with successful revascularization. The final angiographic assessment demonstrated improved coronary flow and resolution of the lesion.
Conclusion: The DK crush technique, when performed by experienced operators, provides an effective strategy for managing complex bifurcation lesions in NSTEMI patients. This case underscores the importance of meticulous procedural steps and intracoronary imaging for optimal results.
References
Sachdeva P, Kaur K, Fatima S, Mahak FN, Noman M, Siddenthi SM, Surksha MA, Munir M, Fatima FN, Sultana SS, Varrassi G. Advancements in myocardial infarction management: exploring novel approaches and strategies. Cureus. 2023;15(9):e45578.
Chang H, Min JK, Rao SV, Patel MR, Simonetti OP, Ambrosio G, Raman SV. Non–ST-segment elevation acute coronary syndromes: targeted imaging to refine upstream risk stratification. Circ Cardiovasc Imaging. 2012;5(4):536-546.
Kırat T. Fundamentals of percutaneous coronary bifurcation interventions. World J Cardiol. 2022;14(3):108-138.
Moroni F, Yeh JS, Attallah A, Santiago R, Martins Filho E, Hall J, Bangalore S, Azzalini L. Crush techniques for percutaneous coronary intervention of bifurcation lesions. EuroIntervention. 2022;18(1):71-82.
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