Complex High-Risk PCI: Left Main and LAD

Overview

Drs Michael Kim and Atul Kukar perform a complex high-risk PCI, treating the left main and LAD using orbital atherectomy

Patient History

76-year-old male with hypertension, diabetes, dyslipidemia and mild dementia. The patient was seen 2 months previous for a non-STEMI, which was managed medically given his mild memory loss. After experiencing shortness of breath, he came back to receive a percutaneous intervention to treat his symptoms.

Treatment Summary

Successful PCI was achieved using Orbital Atherectomy to modify the severely calcified lesions to allow for successful facilitation of multiple stents.

Key Takeaways

  • Successful PCI was achieved using Orbital Atherectomy to modify the severely calcified lesions to allow for successful facilitation of multiple stents.
  • High-risk PCI was safely performed with appropriate hemodynamic support and Orbital Atherectomy to help optimize stent expansion and PCI outcomes.
  • Orbital Atherectomy allowed the physician the ability to treat multiple vessel sizes with a single crown.

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