Complex coronary cases
FFR & OCT Guided Staged PCI of LAD Diagonal Bifurcation – Aug 2019

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 PCI to mid RCA with excellent results. Patient is now planned for FFR & OCT guided staged PCI of LAD diagonal bifurcation using orbital atherectomy and 2-stent (mini-crush) technique.

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Impella Assisted Protected Multivessel PCI using Rotational Atherectomy – Sept 2019
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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 […]


Complex PCI of 20 year old multiple CTO Lesions of RCA – July 2019
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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 […]


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Protected PCI of Calcified LAD via Orbital Atherectomy – June 2019
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Views 718

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.