Case and Plan:
Demographics: 64-year-old female
Presentation: CCS Class III angina
CAD Risk Factor: Hypertension, Hyperlipidemia, and type 1 DM (insulin-dependent)
Cardiac History: Prior PCI to mid-LAD (2016; Promus 2.5/16)
Coronary Angiography: 2-vessel CAD with a 70-80% severely calcified mid-RCA lesion (FFR positive: 0.78) and an 80% proximal RI lesion. LVEF was 60%, and the SYNTAX Score was 9. The Pt subsequently underwent successful RI PCI with DES implantation.
Plan: Hybrid OFDI/IVUS-guided PCI of the severely calcified mid-RCA lesion.
Case Focus: Complementary OFDI and IVUS imaging for calcium assessment, lesion preparation, and stent optimization.
