Complex coronary cases
Rotational Atherectomy and SKS Technique using Impella – Jan 2010

Case: 58 year old male with severe calcific multivessel and left main disease with severe LV dysfunction (LVEF of 25%)
Plan: Rotational Atherectomy followed by simultaneous kissing stent (SKS) technique for distal left main bifurcation using Impella assist device.

Moderator: Sameer Mehta, MD

1:03:43

comments

Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
Unstable Complex LCx CTO Bifurcation Intervention – May 2020
Tags: | |
Views 382

Case and Plan: 50-year-old male on HD, extensive CAD presented with progressive CCS Class II angina and high risk SPECT MPI for multivessel ischemia as preop for renal transplantation. A Cardiac Cath on December 2, 2019 revealed 3 V CAD: 95% LCx bifurcation with CTO ISR of OM1 (Medina 1,1,1), FFR+ 60% mid LAD/D2 bifurcation […]


STEMI in the COVID Era – April 2020
Views 1584

Case and Plan: 43-year old male presented to ER late with anterior STEMI 40 hours after the symptom onset of chest pain, cough and low grade fever. A Cardiac Cath on March 23, 2020 revealed 1 V CAD: thrombotic occlusion of proximal LAD with LVEF = 20%. Patient underwent successful intervention of proximal LAD using […]


Ostial LAD CTO PCI via Retrograde Approach – March 2020
Tags: | |
Views 2470

  Case and Plan: 52-year-old male with COPD and OSA presented on January 31, 2020 with acute hypercarbic respiratory failure requiring intubation and ruled in with peak Troponin of 12 (Type 2 MI) and acute systolic heart failure NYHA Class IV. Patient was stabilized on medical therapy and extubated. A Cardiac Cath on February 3, […]


PCI of Complex LAD D1 Bifurcation with Mini-crush Technique
Tags: | |
Views 1567

Case and Plan: 84-year-old female presented with new onset CCS Class III angina with positive SPECT MPI for multivessel ischemia. A Cardiac Cath on January 28, 2020 revealed 3 V CAD: 90% proximal RCA, subtotal large proximal LAD/Diagonal bifurcation lesion, 80% small LCx-OM1, SYNTAX Score of 21 and LVEF of 55%. Patient had a successful […]