IVUS OCT Guided Rotational Atherectomy and DES of CTO RCA BMS ISR
CTO55 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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CoreValve Evolut-R TAVR (29mm) via Percutaneous Femoral Access
Week of June 14th 2016
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TMVR with 29mm Sapien-3 Valve
Week of January 9th 2018
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TAVR with 23mm Sapien-3
Week of November 14th 2017
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Complex PCI in the setting of Severe AS
Week of April 17th 2018
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Recanalization of prox RCA CTO In-stent Restenosis
Week of June 19th 2018