Imaging Guided Calcified LM PCI

77 year-old male with stable class II angina and exertional dyspnea was noted to have calcified 90-95% left internal carotid artery stenosis on carotid duplex for ongoing neurological symptoms. A cardiac cath performed as a part of pre-op evaluation for carotid endarterectomy revealed calcified severe two-vessel (RCA and LCx) and 90% distal LM disease with SYNTAX score of 26, LVEF of 60% and moderate AS. After Heart Team discussion, CABG was declined due to ongoing neurological issues and moderate AS and PCI was recommended. The case presents IVUS guided high risk PCI of calcified distal LM using rotational atherectomy and single crossover stent approach. The case is accompanied by an interactive discussion of the 5-years outcomes for the EXCEL trial.

From CCC Live Cases

Watch Case Presentation—CCC Live Cases

All Authors: Samin K. Sharma, MD, MSCAI; Annapoorna S. Kini, MD; and Sameer Mehta, MD, MBA.

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...

Integrated Search Topics

Coronary

Clinical Trials

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