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) and 90% distal left main disease with SYNTAX Score of 26, LVEF 60% and moderate AS (MG 15 mmHg, AVA 1.2 cm2). After Heart Team discussion, CABG was declined due to ongoing neurological issues & moderate AS and PCI was recommended. Patient is now planned for IVUS guided high risk PCI of calcified distal LM using rotational atherectomy and single crossover stent approach.
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 […]
Left SFA CTO – Oct. 2019
68 year old female with HTN, DM, HLD who presents with life style limiting claudication, that has progressed to pain a rest. She had a non invasive workup done revealing abnormal ABI. She had a subsequent peripheral angiogram done revealing mid Left SFA total occlusion and referred for further intervention.
Recanalization of a complex RCA CTO using Antegrade/Retrograde Approach – Oct 2019
50-year-old female with multiple CAD risk factors presented with new onset CCS Class II angina for two months and stress echo revealed moderate inferior ischemia. A Cardiac Cath on October 7, 2019, performed at an outside hospital, revealed 1 V CAD: CTO of prox RCA, which fills via collaterals from left system with non obstructive […]