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CASE 01: RCA CTO -Dr.Antonio COLOMBO - Dr.Mauro CARLINO
This procedure concerns a 61 years old male , with HBP and dyslipidemia.
Presenting excertional angina and dyspnea with three vessels coronary artery disease including Proximal RCA CTO.
Strategy Plan
Imaging studies
- Coronary angiography: LAD: Tandem calcified lesion, FFR :0.80, Lcx: moderate lesion, RCA : proximal occlusion with bridging collaterals and retragrade septal filling.
- Echo: LV EF 45%,inferior hypokinesia.
- PET testing :postive ischemia in inferior wall.
Clinical indication
- Angina II CCS
- Postive ischemia in inferior wall.
Planned Procedure
- Antegrade RCA CTO.
CASE 02: Long Calcified LAD PCI with Shockwave Technology -Dr.Antonio COLOMBO - Dr.Azeem LATIB
This procedure concerns a 63 years old female , with HBP and dyslipidemia.
Presenting exertional angina with two vessels coronary artery disease including Proximal RCA and LAD.
Strategy Plan
Imaging studies
- Coronary angiography: LAD: Proximal and mid calcified lesion (75%), RCA : proximal 90% stenosis, Mid diffuse 75% stenosis (treated few months before)
- Echo: LV EF 50% .
Clinical indication
- Angina II CCS
Planned Procedure
- LAD PCI with shockwave lithoplasty..
Shooting date : 2018-02-23
Last update : 2018-07-12
Last update : 2018-07-12
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Alexander P. Antonio the BEST!!!!