Case: 88 year-old male with 80% calcific unprotected distal Left Main (ULM) lesion with LVEF of 35%.
Plan: Complex Coronary Intervention using Rotational Atherectomy followed by ‘Simultaneous Kissing Stent (SKS)’ technique with IABP assistance.
Moderator: Sameer Mehta, MD
Extremely Tortuous Angulated mid LAD Diagonal Bifurcation Lesion – December 2020
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 = […]
Staged PCI of RCA multilayer DES CTO ISR using rotational atherectomy and IVBT – November 2020
Case and Plan: 65-year old male with known long standing history of chronic ischemic heart disease requiring multiple PCI’s over the years after declining CABG, presented with CCS Class III angina and high risk stress MPI for multivessel ischemia. A Cardiac Cath on September 28, 2020 revealed 3 V CAD: 100% proximal RCA due to […]
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 […]