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Very Late Thrombus NSTEMI Due to Malapposition

Very Late Thrombus NSTEMI Due to Malapposition

A 48-year-old male ex-smoker with a history of hyperlipidemia presented with NSTEMI. Patient had a prior PCI to the mid LAD two years prior the event in an outside hospital. Coronary angiography before PCI showed a hazy lesion in the proximal LAD, which was further examined using OCT.

Rotational Atherectomy of In-Stent Restenosis

Rotational Atherectomy of In-Stent Restenosis

A 75-year-old patient with multiple previous PCIs including 2 second generation DES to the RCA, presented for elective PCI for the recurrent ISR. Coronary angiogram showed a 70-80% stenosis in both proximal and mid segment of the RCA; underexpansion of the stent implanted into the mid RCA was suspected based on angiography.

Angiographic Haziness Caused by Heavy Calcification

Angiographic Haziness Caused by Heavy Calcification

A 55-year old male with a history of controlled hypertension, hyperlipidemia, and positive stress test presented with atypical chest pain. Coronary angiography showed a hazy filling defect in the left anterior descending (LAD) coronary artery.

Plaque Rupture in NSTEMI

Plaque Rupture in NSTEMI

A 49-year-old male, ex-smoker with a history of prior myocardial infarction, hyperlipidemia, controlled hypertension, and controlled diabetes mellitus presented with a non-ST-elevation myocardial infarction (NSTEMI).

Acute Stent Thrombosis

Acute Stent Thrombosis

A 49-year-old female with controlled hypertension and hyperlipidemia, uncontrolled DM, multiple prior PCI, and recent NSTEMI had a PCI with a 2.5x12mm DES to the proximal LCX.

OCT Guidance in Bifurcation PCI of Proximal LCx and LAD

OCT Guidance in Bifurcation PCI of Proximal LCx and LAD

A 65-year-old male, with a history of hyperlipidemia and prior PCI to RCA and LAD, presented with NSTEMI. Coronary angiography revealed three vessel disease and the patient underwent successful intervention of culprit RCA lesion with rotational atherectomy and DES implantation.

OCT Guided Calcified Bifurcation PCI

OCT Guided Calcified Bifurcation PCI

A 75-year-old female with a history of MI hypertension, dyslipidemia, tobacco use and hypothyroidism presented with progressively worsening dyspnea on exertion and chest pain over the past 2-3 weeks. Coronary angiogram revealed a moderate to severely calcified lesion in the proximal and mid LDA and mild diffuse disease in the D1.

Proximal Stent Edge Dissection After LM PCI

Proximal Stent Edge Dissection After LM PCI

A 71-year-old male, non-smoker with hypertension, hyperlipidemia and the history of chronic heart failure presented with angina pectoris. Coronary angiography revealed 3 vessel disease, and the patient and his family opted for PCI. The patient was referred to our hospital for a PCI of heavily calcified LM-LAD lesion.

Orbital Atherectomy in Calcified Lesion

Orbital Atherectomy in Calcified Lesion

A 71-year-old female with hypertension, hyperlipidemia, and a history of smoking had angina pectoris and was referred to our hospital. Stress MPI showed mild inferoapical ischemia and coronary angiography revealed heavily calcified RCA lesion.

Asymptomatic Thrombus in DES Seven Weeks After NSTEMI PCI

Asymptomatic Thrombus in DES Seven Weeks After NSTEMI PCI

A 66-year-old male, a smoker with a history of hyperlipidemia, prior MI and chronic systolic heart failure (NYHA Class III) presented for a staged PCI of the RCA. Prior PCI of the proximal LAD was performed 7 weeks earlier in the setting of NSTEMI with culprit lesion in the proximal LAD treated with a 4X38 mm drug-eluting stent.

Rotational Atherectomy of Calcified Left Main and LAD Lesions

Rotational Atherectomy of Calcified Left Main and LAD Lesions

A 58-year-old male, who presented with unstable angina and underwent PCI of acutely occluded RCA three weeks earlier, now presents for a staged PCI of the LM and LAD. Coronary angiography before PCI showed a 50-60% stenosis of the distal LM and 80-90% bifurcation lesion in the LAD with 30-50% stenosis in the D2 branch.

STEMI from Plaque Erosion

STEMI from Plaque Erosion

A 59-year-old male with no medical history arrived at emergency department due to sudden onset of chest pain radiating to back and shoulder. The ECG showed ST-elevation in leads V2-3 and an emergent coronary angiography revealed a total occlusion of the mid LAD.