Complex coronary cases
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 and LVEF of 40%. After Heart Team discussion, CABG was recommended, but declined by the patient. Patient is now planned for Impella assisted protected PCI of calcific LAD and LCx using rotational atherectomy.

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One thought on “Impella Assisted Protected Multivessel PCI using Rotational Atherectomy – Sept 2019”

  1. Dr Alteer says:

    a more of surgical question, would it be possible for such a patient to have jump graft LAD/D1 ? obviously if not diffusely diseased/calcified ?


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