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
62-year-old male presented with new onset Class III angina, NIDDM and positive MPI for multivessel ischemia in inferior, lateral and anterior walls. A Cardiac Cath on September 6, 2019 revealed 3V CAD: 100% proximal RCA, 80% calcified proximal LAD/D1 bifurcation Medina (1,1,1), calcified 80% mid LAD, calcified diffuse subtotal LCx-OM2 with SYNTAX Score of 39 […]
FFR & OCT Guided Staged PCI of LAD Diagonal Bifurcation – Aug 2019
Tags: Bifurcation | Complex coronary | LAD
50-year-old female with new onset Class II angina and strongly positive stress MPI for multivessel myocardial ischemia with TID. A Cardiac Cath on June 26, 2019 revealed 3V CAD: 70% severely calcific prox LAD with diagonal bifurcation, 80% LCx-LPL, 80% mid RCA with SYNTAX Score of 23 and LVEF of 60%. Patient underwent successful DES […]
Complex PCI of 20 year old multiple CTO Lesions of RCA – July 2019
Case and Plan 82-year-old female with NIDDM and prior CABG (1998) & PCI’s presented with CCS Class III angina and high-risk positive stress MPI for multivessel ischemia and normal LV function. A Cardiac Cath on May 21, 2019 revealed III Vessel CAD with totally occluded mid-distal RCA, prox LAD and LCx-OM1, 90% native distal LAD […]