62-year-old male presented with new onset Class III angina, NIDDM and positive MPI for multivessel ischemia in inferior, lateral and anterior walls. A Cardiac Cath on September 6, 2019 revealed 3V CAD: 100% proximal RCA, 80% calcified proximal LAD/D1 bifurcation Medina (1,1,1), calcified 80% mid LAD, calcified diffuse subtotal LCx-OM2 with SYNTAX Score of 39 and LVEF of 40%. After Heart Team discussion, CABG was recommended, but declined by the patient. Patient is now planned for Impella assisted protected PCI of calcific LAD and LCx using rotational atherectomy.
Impella Assisted Protected Multivessel PCI using Rotational Atherectomy - Sept 2019
62-year-old male presented with new onset Class III angina, NIDDM and positive MPI for multivessel ischemia in inferior, lateral and anterior walls. A Cardiac Cath on September 6, 2019 revealed 3V CAD: 100% proximal RCA, 80% calcified proximal LAD/D1 bifurcation Medina (1,1,1), calcified 80% mid LAD, calcified diffuse subtotal LCx-OM2 with SYNTAX Score of 39 and LVEF of 40%. After Heart Team discussion, CABG was recommended, but declined by the patient. Patient is now planned for Impella assisted protected PCI of calcific LAD and LCx using rotational atherectomy.
0 Comments