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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

FFR guided staged PCI of LAD D1 Bifurcation

Miscellaneous Coronary

82 year old female presented with new onset CCS Class III-IV angina and exertional dyspnea; no stress test done. A Cardiac Cath done via right radial approach on September 5, 2017 revealed III Vessel CAD: 60% proximal RCA, heavily calcified 90% mid LAD and 80% D1 bifurcation, 95% ulcerated LCx-OM1 with SYNTAX Score of 22 and LVEF = 60%. Patient underwent successful intervention of LCx-OM1 (Xience DES). Patient is now planned for FFR guided staged PCI of LAD-D1 bifurcation using rotational atherectomy of both branches and dedicated two stent technique.


Coronary miscellaneous


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