Case & Plan:
Cardiac cath on June 9th 2022 revealed extensive diffuse 3 V CAD: 70-80% calcific mid LAD/D1 bifurcation, subtotal thrombotic LCx-OM1, 80% calcific RCA-RPDA & AV cont bifurcation, LVEF 28% and Syntax score 33. Pt underwent HFrEF GDMT optimization and referred for CABG, which was declined after heart team discussion.ow planned for multivessel PCI of LCx and rotational atherectomy with multiple DES of LAD/D1 bifurcation and Impella LV support.
