Case: 48 year old male with prior CABG in February 2009 (LIMA to LAD, SVG to OM and SVG to RCA), underwent cath for recurrent angina which revealed occluded SVG to RCA and occluded SVG to OM along with 80% distal LM and angulated proximal circumflex lesion; patent LIMA to LAD but severe diffuse distal LAD disease. LVEF 45%
Plan: Complex multi-vessel PCI: Distal LM – LCx bifurcation (using “venture” catheter), Native OM CTO (using contralateral injection): Distal LAD via LIMA (using rotational atherectomy)
Moderator: Sameer Mehta, MD
