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
Complex PCI of Tortuous Calcified RCA using Rotational Atherectomy with Guide Extension Catheter – April 2021
Case and Plan 43-year-old morbidly obese male with ESRD on HD presented with new onset Class IV angina and NSTEMI (pTnI 2:1U). A Cardiac Cath on February 26, 2021 revealed 2 V CAD: multiple calcified 80-99% lesions in extremely tortuous RCA, 90% mid LAD, LVEF = 55% and SYNTAX Score of 27. Patient underwent successful […]
IVUS Guided PCI of LAD-D1 Bifurcation using Rotational Atherectomy and 2-Stent Mini-crush Technique – March 2021
Case & Plan: 47-year-old female with ESRD on HD, presented with CCS Class I angina and a markedly positive SPECT MPI for anterior and lateral wall ischemia. A Cardiac Cath on February 23, 2021 revealed severely calcified 1 V CAD: 90% proximal LAD and diagonal bifurcation (Medina 1,1,1), 80% mid LAD and SYNTAX Score of […]
Complex prox RCA CTO Recanalization via Retrograde Approach – February 2021
56-year-old male presented with Class III unstable angina and positive stress MPI for significant inferior ischemia. A Cardiac Cath on November 20, 2020 at outside hospital revealed 2 V VAD: 85% mid LAD, 70% D1 and CTO proximal RCA with distal vessel fills retrogradely via septal collaterals (J-CTO Score 3), LVEF = 50% and Syntax […]
High-Risk Complex PCI of Diffuse Multivessel CAD – January 2021
Case and Plan: 45-year-old male with multiple CAD risk factors presented to OSH on November 6, 2020 with unstable angina and positive ETT. A Cardiac Cath on November 9, 2020 revealed extensive 3V CAD: 100% mid LAD, 90% D2, 70% proximal LCx, 100% LCx-OM1, 100% mid RCA with LVEF = 60% and SYNTAX Score […]