Complex coronary cases
FFR/IVUS Guided PCI of RCA and LCx via Radial Approach (TRI) – May 2011
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Case: 63-year old diabetic female presented on April 1, 2011 with crescendo angina and SOB (no stress test) and cardiac cath revealed 3 vessel CAD (SYNTAX Score 27) and normal LV function. Patient underwent PCI of multiple calcific LAD lesions using ROTA DES. Now staged FFR/IVUS guided PCI of RCA (1lesion) and Circumflex (2 lesions) via Radial Approach (TRI).

 

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Unstable Complex LCx CTO Bifurcation Intervention – May 2020
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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
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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
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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
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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 […]