Case and Plan:
78-year-old female presented with NSTEMI. A Cardiac Cath on April 7, 2025 revealed 2 V CAD; 80% proximal RCA & 90-95% calcified RCA RPDA bifurcation, 95% angulated proximal LAD bifurcation, SYNTAX Score of 23 with severe systolic LV dysfunction (EF 22%). After Heart Team discussion, CABG was recommended, but declined due to comorbidities. Patient is now planned for imaging guided protected PCI of LAD and RCA with Impella assist. *This activity has been approved for AMA PRA Category 1 Credits™
