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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

FFR Guided PCI of LAD Diagonal Bifurcation and OCT imaging


61 year-old male with stable angina and NIDDM presented with CCS Class II angina. A stress MPI revealed moderate inferolateral and mild apical ischemia. A Cardiac Cath on March 14, 2016 revelaed 2V CAD: 80% LAD/Diagonal bifurcation (1,1,1), 80% OM1, total occlusion of LPL1 and normal LV function; SYNTAX Score of 22. Patient underwent successful intervention of LCx-OM1 (Xience Alpine DES 2.75/23mm) and LCx-LPL1 (PTCA and Xience Alpine DES 2.75/18mm). Patient is now planned for FFR guided PCI of LAD/Diagonal bifurcation and OCT imaging for decision making of side branch intervention.


Case presentation


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