Case and Plan:
79-year-old male presented with NSTEMI and chronic systolic heart failure. A Cardiac Cath on October 2, 2024 revealed calcified 3 V CAD: 80-90% multiple LCx branches, 95% proximal LAD-D2 bifurcation, 95% proximal RCA with SYNTAX Score of 36 and LVEF = 35%. Patient was turned down for CTS due to small diffuse CAD. Then underwent successful Impella assisted Rota DES PCI of proximal RCA and proximal LAD with excellent results. Patient is now planned for IVUS guided staged PCI of complex calcified LCx and branches using Rotational Atherectomy and DES.
