Case: 86-year old female with multiple medical comorbidities and severe III vessel and left main disease; LVEF of 25%.
Plan: PCI of left main bifurcation lesion using Impella Assist Device.
Moderator: Sameer Mehta, MD
Complex Multivessel PCI in a High SYNTAX Score Patient – October 2020
Tags: Multi-Vessel PCI | PVD | Rotablator
Case and Plan: 74-year-old obese male on HD presented with CCS Class II angina and positive SPECT MPI on July 14, 2020 done as pre-op for renal transplant revealing moderate apical, inferior and inferolateral ischemia. A Cardiac Cath on August 20, 2020 revealed 3 V CAD: 70% mid RCA, 100% RCA-AV Cont, subtotal calcified mid-distal […]
Radial PCI of Long Complex Calcified LAD post TAVR – September 2020
Case and Plan: 78 year-old-male presented on August 7, 2020 with progressive exertional dyspnea, NYHA class III. Workup revealed severe AS (AVA 0.7cm2), normal LV function and STS mortality of 1.1%. After heart team discussion, patient underwent successful TAVR using 26mm SAPIEN-3 Ultra with excellent results, AV area of 2.0cm2 and no PVL. A coronary […]
Stent Ablation with RA of Underexpanded Multilayer DES – August 2020
Tags: Instent Restenosis | Oct | Rotablator
63 year-old male with known CAD, CABG x2 (1999) and multiple PCI’s to SVG to RCA and LCx branches presented with CCS Class IV angina and non-STEMI (TnI 1.2U). A Cardiac Cath on June 22, 2020 revealed patent LIMA to LAD, non obstructive LCx branches with patent prior stents and 90% multilayer in-stent restenosis of […]
Imaging Guided PCI of DES CTO RCA – July 2020
57 year-old male with extensive CAD and PCI’s presented with crescendo angina on 8/20/2019 and Cath revealed 3 V CAD with DES CTO of RCA and normal LV function. CABG was recommended, but declined and patient did well on MMT. Recently started having angina and underwent Rota DES PCI of LAD/D1 bifurcation. Now planned for […]