Multivessel Staged PCI of CTO LAD and LCx OM2 using Orbital Atherectomy and DES with OCT Guidance
CTO62 year old male with recent onset CCS Class III angina with a positive SPECT MPI for inferior and anterior ischemia. A Cardiac Cath on May 2, 2017 revealed III Vessel CAD: 80% RCA-RPL1, 100% calcified proximal LAD with distal vessel filling via bridge collaterals, 90% calcified LCx OM2 bifurcation and SYNTAX score of 40.5. After Heart Team discussion, CABG was recommended, but declined. Patient underwent successful PCI of RCA branch RPL1 using Promus Premier DES. Now planned for multivessel staged PCI of CTO LAD and LCx OM2 using orbital atherectomy and DES with OCT guidance.
June20th2017-CCC
20:26
CoreValve Evolut-R TAVR (29mm) via Percutaneous Femoral Access
Week of June 14th 2016
20:02
TMVR with 29mm Sapien-3 Valve
Week of January 9th 2018
20:02
TAVR with 23mm Sapien-3
Week of November 14th 2017
20:02
Complex PCI in the setting of Severe AS
Week of April 17th 2018
20:02
Recanalization of prox RCA CTO In-stent Restenosis
Week of June 19th 2018