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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

OCT Guided Multivessel Using Orbital Atherectomy


50-year-old female with new onset Class II angina and strongly positive stress MPI for multivessel myocardial ischemia with TID. A Cardiac Cath on June 26, 2019 revealed 3V CAD: 70% severely calcific prox LAD with diagonal bifurcation, 80% LCx-LPL, 80% mid RCA with SYNTAX Score of 23 and LVEF of 60%. Patient underwent successful DES PCI to mid RCA with excellent results. Patient is now planned for FFR & OCT guided staged PCI of LAD diagonal bifurcation using orbital atherectomy and 2-stent (mini-crush) technique.


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