Dominant LCx CTO with ipsilateral collateral channels

Operators: Kambis Mashayekhi, MD - Alexandre Bufe, MD
IVUS commentator: Stéphane Carlier, MD

Clinical Data

• 71 yo male
• Risk factors: hypertension, ex smoker
• History: COPD
• Stable angina on exertion CCS2
• EF 70%
• Stress perfusion: inferolateral ischemia (Lcx territory)
• Angiogram: 
  • ​Severe disease to LAD – CTO to LCx – mild to moderate RCA
  • PCI to LAD (1DES 3.5x34mm) – FFR to RCA 0.89
  • Lcx: AWE attempt at the end of the procedure

Imaging protocol OptiRAY® 350

• Total volume injected: 250 mL
• Total radiation exposure : 1.2 Gy
• Exposure time: 34 minutes
• 7.5 images / sec