Case 26: Severely Angulated and Tortuous RCA Intervention
An 88-year-old man presented with a new onset CCS class III angina. Found to have NSTEMI with troponin level of 2.41.
Case 25: Angulated LAD Intervention Using Angulated Catheter
A 65-year-old man presented with a new onset CCS class II angina. CTA coronary showed high calcium score of 2684 with 2 vessel CAD (RCA and LAD).
Case 24: Complex PCI of Tortuous Calcified RCA Using Rota With Guide Extension Support
A 43-year-old man presented with angina chest pain and dyspnea on exertion.
Case 23: Simple Lesion
A 60-year-old man presented with new onset left sided chest pain on exertion and relieved by rest. Stress MPI showed mild-moderate anteroseptal and inferior ischemia. LVEF 56%.
Case 22: Extremely Tortuous Angulated mid LAD Diagonal Bifurcation Lesion
A 75-year-old woman with PMH HTN, HLD and NIDDM presented with new onset CCS class II angina for few weeks and stress MPI revealed moderate apical and inferior ischemia.
Case 21: RCA CTO PCI with Antegrade Approach
A 52-year-old man presented with CCS III angina pain and dyspnea on exertion.
Case 20: Complex Multivessel PCI in a High SYNTAX Score
A 74-year-old man presented with class II angina and stress MPI done as pre-op for renal transplant evaluation, revealed moderate multivessels ischemia (apical, inferior and infero-lateral).
Case 19: Revascularization of Calcific LM Bifurcation and Aneurysmal pLAD
An 86-year-old woman presented with chronic stable angina CCS Class II and a positive MPI for anterior and lateral wall ischemia for 2 years.
Case 18: PCI of CTO RCA using Retrograde Recanalization
A 62-year-old man presented with new onset crescendo angina and positive stress echo for infero-lateral ischemia.
Case 17: PCI of CTO RCA via Retrograde Approach
A 57-year-old man presented with new onset CCS Class IV angina.
Case 16: PCI of Distal RCA CTO by Retrograde Recanalization using LAD-Septal Collaterals
A 48-year-old man presented with new onset of crescendo angina (CCS class III) and stress MPI showed moderate size inferior wall ischemia.
Case 15: Rotational Atherectomy and DES of CTO RCA BMS ISR
A 55-year-old woman presented with angina chest pain and dyspnea on exertion.
Case 14: RCA CTO via Antegrade Approach
A 36-year-old presented with new onset angina chest pain.
Case 13: Calcified Prox LAD and Angulated Diagonal Bifurcation Intervention
A 71-year-old man presented with new onset CCC class III angina and found to have positive exercise EKG stress test with significant ST-segment depression in multiple leads.
Case 12: CTO Ostial LAD (Retrograde / Antegrade)
A 52-year-old man presented with shortness of breath and chest pain.
Case 11: Thrombotic Lesion (STEMI)
A 72-year-old man presented with acute onset of chest pain and shortness of breath.
Case 10: RCA CTO (Antegrade Approach)
A 62-year-old man presented with angina chest pain for a few days. Stress MPI showed moderate infero-lateral and apical ischemia.
Case 9: Protected PCI of complex calcified LAD using OA and DES with Impella LV assist
A 73-year-old man presented with angina chest pain. Stress MPI showed anterior and inferior ischemia while planning for lower limb vascular surgery.
Case 8: Aneurysmal RCA Disease
A 74-year-old male presented with left sided chest pain at rest and dyspnea on exertion.
Case 7: Severely Angulated Vein Graft PCI
A 74-year-old male presented with angina like chest pain, mainly exertional but occasionally at rest, and relieved with SL NTG or NTG patch.
Case 6: Mid RCA CTO via Antegrade Recanalization
A 48-year-old man presented with CCS class 1 angina.
Case 5: Complex Proximal RCA CTO ISR Via Antegrade Approach Followed By Laser Atherectomy And Atherotomy
A 72-year-old man presented with left sided angina and shortness of breath.
Case 4: LAD CTO – D1 Bifurcation
A 64-year-old man presented with angina chest pain and dyspnea on exertion.
Case 3: OCT Guided Complex Intervention Of LM And Long Calcified Aneurysmal LAD
A 76-year-old woman presented with angina like chest pain and dyspnea on exertion.
Case 2: Ectatic And Severely Tortuous Long ISR of RCA
A 62-year-old man presented with angina like chest pain and stress MPI showed moderate size of inferior and infero-lateral ischemia.
Case 1: Tortuous Artery
A 73-year-old man present with angina like chest pain and dyspnea on exertion, concerning for unstable angina.
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