LM Bifurcation and ISR Lesion Intervention with Crush TechniqueNew

Operator: Seung-Jung Park, MD

- Case Presentation: A 96-years-old female was admitted for dyspnea on exertion. She had previous PCI history due to acute MI, in which Cypher stents were implanted to prox-to-mid LAD and proximal LCX, respectively. Physical examination, a simple chest radiograph showed pulmonary congestion and were unremarkable. Echocardiogram showed mild LV dysfunction with akinetic wall motion of LCX territory. - Baseline Coronary Angiogram & IVUS: 1. The left coronary angiogram showed discrete lesion at distal LM and pLCX ostium. Prox to mid LAD with the previous stent had diffuse in-stent re-stenosis (ISR) lesion, of which FFR showed decrement of pressure...More
Severe Calcified Chronic Total Obstruction Treated by RotablationNew

Operator: Seung-Whan Lee, MD

- Case Presentation: A 80-year-old male patient was admitted for dyspnea on exertion. He underwent PCI at the mid LAD 17 years ago for STEMI and PCI at proximal to mid LAD 11 years ago for stable angina. The SPECT showed partially reversible large-sized severe perfusion defect in apical-mid anterior, apical septal, mid-basal anteroseptal, apical inferior wall. Her coronary angiography demonstrated total occlusion of proximal to mid LAD stent (ISR), left main 70% dffuse stenosis and proximal to mid RCA diffuse 80-90% stenosis. Her coronary arterial risk factor was dyslipidemia. His electrocardiogram showed normal sinus rhythm. Echocardiography revealed mild left ventricular...More
  • Complex PCI
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