Modified T stenting for leftmain trifurcation stenosis in a patient with multiple co-morbidities through transradial route

A critical lesion in the left main coronary artery (LMCA) has been observed in 3%-5% of all the patients undergoing coronary angiography. Significant LMCA disease is considered as the lesion with the highest prognostic value in the coronary system because of the extent of jeopardised myocardium. Though CABG is considered as gold standard for treatment of left main stenosis, particularly distal left main, evidence is increasing to support the use of PCI with stenting in some cases . We report here a case of an elderly male with peripheral vascular disease and distal left main trifurcation disease with critical stenosis of ostial LAD and ostial LCX, who was treated by us with PCI of the distal left main trifurcation with a modified T stenting technique through the transradial route.