FFR and OCT Guided Staged PCI of LAD Diagonal Bifurcation using orbital atherectomy

50-year-old female with a new onset of Class II angina and strongly positive stress MPI for multivessel myocardial ischemia with TID. A cardiac cath revealed three-vessel coronary artery disease: 70% severely calcified LAD/D1 bifurcation, 80% LCx-LPL, 80% mid RCA with SYNTAX score of 23 and LVEF of 60%. Patient initially underwent successful DES PCI to mid RCA. The case presents PCI of the LAD diagonal bifurcation using orbital atherectomy and 2-stent (mini-crush) technique using FFR and OCT imaging.

From CCC Live Cases

Watch Case Presentation

Other Specialist Resources for Bifurcation Club

Including recently published studies, coverage of late-breaking science, updates from clinical trials and registries, and complex case presentations.

Clinical Interest Article

Three-Year Results from the COMPARE ABSORB Trial—Coverage of CRT 2021

Clinical Interest Article

Percutaneous Coronary Intervention For Bifurcation Coronary Lesions. The 15th Consensus Document from the European Bifurcation Club

From EuroIntervention

Clinical Interest Article

EBC 2020 Live —XVI European Bifurcation Club

The European Bifurcation Club is an annual congress for experts in the field of Interventional Cardiology Bifurcation treatme...

Clinical Interest Article

Asia Pacific Consensus Document on Coronary Bifurcation Interventions

Coronary bifurcation intervention is common but complex. Progress in this field has been made in recent years with considerab...

Clinical Interest Article

Cardiovascular Outcomes After Percutaneous Coronary Intervention on Bifurcation Lesions With Moderate to Severe Coronary Calcium: A Single‐Center Registry Study

From Catheterization & Cardiovascular Interventions

Clinical Interest Article

Complex LCx CTO Bifurcation Intervention

50-year-old male with extensive CAD presented with progressive CCS Class II angina and high risk SPECT MPI for multivessel is...

SCAI^® is a registered trademark of the Society for Cardiovascular Angiography & Interventions.

All content found on the Society for Cardiovascular Angiography & Interventions website (www.scai.org) including text, images, audio, video, or other formats is created for informational purposes only. Links to other content are to be taken at your own risk. SCAI is not responsible for the content or claims of external websites.

Connect