OCT Guided Multi-Vessel PCI using Orbital Atherectomy

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OCT Guided Multi-Vessel PCI using Orbital Atherectomy

By Mount Sinai Heart Complex Live Cases FEATURING Annapoorna Kini, Samin Sharma

659 views

April 2, 2019

71 year old male with multiple CAD risk factors presented with NSTEMI, pneumonia and septic ...
read more ↘ shock in October 2018. Patient developed acute respiratory failure requiring intubation and gradually improved and extubated. A Cardiac Cath on November 9, 2018 revealed 3 V CAD: 50% distal left main, 80% severely calcified multiple mid LAD lesions, 70% prox LCx and 90% LPL lesions, 70% mid RCA lesion with LVEF 45% and SYNTAX Score of 28. The Heart Team recommended CABG, but was declined by the patient and family. The patient is now planned for OCT guided multi vessel PCI using Orbital atherectomy and multiple DES.
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