Complex coronary cases
Staged PCI of LM Bifurcation and Left Anterior Descending Artery – Oct 2010

Case: An 89-year-old woman presented with posterior and lateral wall ST-segment elevation myocardial infarction on September 10, 2010. Cardiac catheterization revealed 3-vessel coronary artery disease with left main bifurcation disease and left ventricular ejection fraction of 40%; (SYNTAX score 38). Patient underwent primary percutaneous coronary intervention (PCI) of circumflex obtuse marginal with intra-aortic balloon pump support and did well subsequently. Staged PCI of left main bifurcation and left anterior descending artery is planned.

Moderator: Sameer Mehta, MD

1:02:23

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Suggestions
IVUS Guided PCI of LAD-D1 Bifurcation using Rotational Atherectomy and 2-Stent Mini-crush Technique – March 2021
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Case and Plan: 75-year-old female presented with new onset CCS Class II angina and positive stress MPI on November 9, 2020 revealing moderate apical and inferior ischemia. A Cardiac Cath on November 24, 2020 revealed 2 V CAD: 95% proximal RCA, angulated tortuous 95% mid LAD bifurcation lesion, LVEF = 60% and SYNTAX Score = […]