OCT Guided Complex Intervention of LM and Long Calcified Aneurysmal LAD | SCAI
Feb 1st 2020
Annapoorna S. Kini, MD
(Author)
Sameer Mehta, MD, MBA
(Author)
Samin K. Sharma, MD, MSCAI
(Author)

OCT Guided Complex Intervention of LM and Long Calcified Aneurysmal LAD

76-year-old female presented with new onset of CCS Class III angina and positive SPECT MPI for mild lateral ischemia. A cardiac cath two weeks prior to the procedure revealed three-vessel coronary artery and LM disease: 70% distal LM, 80% proximal LAD/D1 bifurcation, 80% long calcified aneurysmal mid LAD, 80% LCx-OM1. Patient had a SYNTAX score of 35 and LVEF of 60%. In view of high SYNTAX score, patient was referred for Heart Team discussion with recommendation for CABG, which was declined, and patient opted for multi-vessel PCI. The case describes complex intervention of LM and long calcified aneurysmal LAD lesions using OCT imaging for pre-procedural lesion characterization and stent assessment after PCI. 

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

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