Case: 50 year old male with trifurcating LAD lesion involving first septal, first diagonal and mid LAD. LVEF 50%.
Plan: Complex Coronary Intervention using cutting balloon of all 3 lesions followed by 2 Cypher DES via ‘Simultaneous Kissing Stent (SKS)’ technique.
PCI of Complex LAD D1 Bifurcation with Mini-crush Technique
Tags: Bifurcation | Calcification | Rotational Atherectomy
Case and Plan: 84-year-old female presented with new onset CCS Class III angina with positive SPECT MPI for multivessel ischemia. A Cardiac Cath on January 28, 2020 revealed 3 V CAD: 90% proximal RCA, subtotal large proximal LAD/Diagonal bifurcation lesion, 80% small LCx-OM1, SYNTAX Score of 21 and LVEF of 55%. Patient had a successful […]
OCT Guided Complex Intervention of LM and Long Calcified Aneurysmal LAD – January 2020
Tags: aneurysmal dilatation | Oct | Rotational Ablation
Case and Plan: 76-year-old female presented with new onset CCS Class III angina with positive SPECT MPI for mild lateral ischemia. A Cardiac Cath on January 6, 2020 revealed 3 V + LM CAD: 70% distal LM, 80% proximal LAD/D1 bifurcation, 80% long calcified aneurysmal mid LAD, 80% LCx-OM1, SYNTAX Score of 35 and LVEF […]
OCT Guided PCI of Calcified LAD Bifurcation using 2-Stent + OA – December 17, 2019
Case and Plan: 67-year-old male controlled NIDDM, presented with CCS Class I angina and positive stress echo for multi vessel ischemia. A Cardiac Cath on August 9, 2019 revealed 3 V CAD: calcified 80% mid LAD and D2 bifurcation, 70% distal LAD, CTO mid RCA and CTO proximal LCx, SYNTAX Score of 38 with moderate […]
Imaging Guided Calcified LM PCI with Interactive Discussion about EXCEL Trial Results by Dr. Gregg Stone and Dr. John Puskas – November 2019
Tags: Complex coronary | excel trial | left main intervention | Rotablator
Case and Plan: 77 year-old male with stable class II angina and exertional dyspnea was noted to have calcified 90-95% left internal carotid artery stenosis on carotid duplex for ongoing neurological symptoms. A Cardiac Cath on November 18, 2019 as the part of pre-op evaluation for carotid endarterectomy revealed calcified severe 2V (RCA and LCx) […]