Complex coronary cases
Imaging-Guided High-Risk of LM Trifurcation LAD and LCx (edited case) – February 2019

57 year old diabetic male presented with new onset CCS Class II angina and positive stress echo for multisegmental wall hypokinesis. A Cardiac Cath on February 12, 2019 revealed diffuse 3 V and LM trifurcation disease with SYNTAX Score of 52 and EF = 55%. The Heart Team recommended surgical revascularization but was declined by the patient and family. The patient underwent DES PCI of RCA with excellent results. The patient is now planned for imaging-guided high-risk intervention of left main trifurcation, LAD and LCx disease with Impella LV support and dedicated 2-stent technique.

Moderator: Sameer Mehta, MD

19:08

comments

Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
1:19:50
Protected PCI of Calcified LAD via Orbital Atherectomy – June 2019
Tags: | |
Views 45

73 year old male with extensive PAD, s/P PTA presented with CCS Class II angina and high risk positive SPECT MPI for anterior and inferior ischemia done as the part of the pre-op evaluation for lower limb vascular surgery.


1:11:14
PCI of RCA via Previous Ostial Protruded Stent – May 2019
Tags: | |
Views 544

61 year old male presented with CCS Class I angina and intermediate risk positive SPECT MPI for inferior and lateral ischemia done as the part of pre-op evaluation for shoulder surgery.


19:59
Revascularization of Calcific LM Bifurcation (edited case) – January 2019
Tags: | |
Views 32

86 year old female with chronic stable angina CCS Class II and positive MPI for two years being managed on medication.


19:41
Complex PCI of a Severely Tortuous Ectatic RCA (edited case) – December 2018
Tags: | |
Views 30

62 year old male presented with CCS Class II angina and positive SPECT MPI for basal inferior and inferolateral moderate size area of ischemia and infarction.