Complex PCI: Right Coronary Artery | CSI360

Complex PCI: Right Coronary Artery


Emmanouil S. Brilakis, MD

Patient History

79-year-old male patient who presented with acute angina and dyspnea. The patient had a prior coronary artery bypass graft (CABG) 17 years prior and recently had a percutaneous coronary intervention (PCI), treating the left anterior descending (LAD) and circumflex arteries.

Treatment Summary

Diamondback 360® Coronary OAS was used in this complex case to effectively modify the severe calcium in the right coronary artery (RCA), enabling successful stent delivery to help optimize stent expansion and PCI outcomes.

Key Takeaways

  • The utilization of advanced imaging during this complex intervention assisted in the assessment and optimal treatment of the target vessel.
  • The GlideAssist feature on Diamondback 360 helped maintain wire position, and enabled easy navigation to and from the lesion.
  • By employing best practices in the use of Orbital Atherectomy, successful PCI was achieved with the modification of severely calcified lesions in the RCA, allowing for successful stent delivery.

Results may vary.

Warning:  Performing treatment in excessively tortuous or angulated vessels or bifurcations may result in vessel damage.

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