Case and Plan:
Demographics: 61-year-old male
Presentation: CCS Class II angina with positive SPECT-MPI
CAD Risk Factors: Hypertension, Hyperlipidemia Cardiac History: Recent PCI of a calcified proximal-to-mid LAD lesion using rotational atherectomy, IVL, and DES implantation
Coronary Angiography: Two-vessel CAD with residual 70-80% severely calcified proximal to mid RCA stenosis following successful LAD PCI. SPECT-MPI showed anterior and inferior ischemia. LVEF was 60%, and the SYNTAX Score was 22.
Plan: Staged OCT-guided PCI of the severely calcified mid-RCA lesion using Ultreon 3.0 software.
Case Focus: AI-assisted calcium and lipid assessment, lesion preparation, and stent optimization.
