Coronary CTO

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

IVUS OCT Guided Rotational Atherectomy and DES of CTO RCA BMS ISR


55 year-old female presented with CCS class III angina and positive stress MPI for moderate ischemia in the anteroseptal and inferoposterior segments with mild inferior infarct. A Cardiac Cath on May 6, 2016 revealed 2V CAD: 95% prox RCA, total occlusion of distal RCA BMS instent-restenosis (ISR) filling via LAD collaterals, 90% mid LAD with normal systolic LV function; SYNTAX Score of 16. Patient underwent successful intervention of mid LAD using Promus Premier DES. Patient is now planned for IVUS/OCT guided rotational atherectomy and DES of totally occluded RCA BMS ISR.


Case presentation


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