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Clinical Data
- Patient: Male, 78 years old
- Known CAD with inferior STEMI 2000 (lysis)
- PCI of CX march 2000 (BMS)
- PCI of LAD may 2000 (BMS)
- LVEF 40%, inferior and lateral akinesia
- CVRF: hypertension, dyslipidemia
- Progressive Dyspnea NYHA III
- CAG 9.8.17: very calcified vessels, proximal LAD in stent <30%, mid LAD 50%, CX with good result in-stent, RCA with several severe stenosis
- Echo: LVEF 40%, Afib; inferior and lateral akinesia, moderate to severe MR
- Renal function: eGFR = 62 ml/min/1.73m2
- Hemodynamics: no pulmonary hypertension, mPAP = 24 mmHg, PCWP = 10 mmHg
Shooting date : 2017-09-12
Last update : 2017-10-31
Last update : 2017-10-31
SeQuent® Please NEO / B. Braun
Next generation coronary Drug Coated Balloon to treat vascular stenosis
OptiRAY® / Guerbet
Optiray® contrast agent is lower osmolar, lower viscosity and nonionic.
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How should I treat complex anatomic lesions and manage complications?
Interactive discussion with your experts - Rotablator & CTO
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Henry K. Thank you for showing this fastastic and successful case, I was wondering about if there is a lot of evidence supporting avoiding stenting the whole mid RCA by using DEB especially when there is not much marginal branches to worry about.
Ahmed S. excellent results for this heavily diseased and calcified artery