Coronary  May 2021

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

Staged PCI of Totally Occluded Extremely Tortuous RCA

Miscellaneous Coronary

66-year-old female presented with unstable angina and high risk positive SPECT MPI for multivessel ischemia. A Cardiac Cath on April 15, 2021 revealed 2 V CAD: totally occluded extremely tortuous distal RCA lesion with another 90% proximal RCA lesion with spontaneous dissection, 80% calcified mid LAD, LVEF = 60% and SYNTAX Score of 22. Patient underwent successful intervention of mid LAD (PTCA, Atherectomy and Xience Sierra DES). Patient is now planned for staged PCI of totally occluded extremely tortuous RCA.


Case Presentation


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