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Basic LCX Case

Chapter
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)

Abstract

The patient is an 82-year-old male with a past medical history of diabetes mellitus, hypertension, dyslipidemia, and known coronary artery disease, with prior PCI to proximal RCA with a 3.0 × 12 mm DES and to the distal RCA with a 2.5 × 12 mm DES 3 years ago. A 60–70% calcified LCX lesion was managed medically at that time. He was admitted to another hospital with unstable angina. He underwent coronary angiography that showed patent stents in RCA; however, his calcified LCX has progressed significantly to 95% and therefore was referred to PCI.

Supplementary material

Video 3.1

Baseline LCX lesion (MOV 3437 kb)

Video 3.2

Rotational atherectomy with a 1.5 mm burr was performed on the LCX lesion leading to post atherectomy lumen size gain and allowing stent crossing (MOV 2612 kb)

Video 3.3

Final result: optimal stent deployment was validated with IVUS guidance (MOV 1941 kb)

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.MedStar Washington Hospital CenterWashington, DCUSA

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