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Air Embolism 55-year-old male who presented to the hospital with dyspnea and exertional intolerance. NSCLC (s/p Neoadjuvant Chemotherapy/XRT, R Pneumonectomy in 2008), Myocarditis LVEF 50% Stress MPI: Mild infero-apical wall…

Air Embolism 55-year-old male who presented to the hospital with dyspnea and exertional intolerance. NSCLC (s/p Neoadjuvant Chemotherapy/XRT, R Pneumonectomy in 2008), Myocarditis LVEF 50% Stress MPI: Mild infero-apical wall…

Air Embolism 59-year-old male who presented with chest pain (CCS Class III). HTN, Active Tobacco Use LVEF 70% Stress MPI: Mild apical ischemia. Home Medications: Aspirin, Metoprolol Tartrate, Tamsulosin Adjunct…

Air Embolism 59-year-old male who presented with chest pain (CCS Class III). HTN, Active Tobacco Use LVEF 70% Stress MPI: Mild apical ischemia. Home Medications: Aspirin, Metoprolol Tartrate, Tamsulosin Adjunct…

Burr Entrapment 72-year-old male who presented to the hospital with chest pain (CCS Class III) and was referred for staged PCI of the LM bifurcation. HTN, HLD, Former Tobacco Use,…

Burr Entrapment 72-year-old male who presented to the hospital with chest pain (CCS Class III) and was referred for staged PCI of the LM bifurcation. HTN, HLD, Former Tobacco Use,…

Burr Entrapment 87-year-old male who presented with chest pain (CCS Class II). HTN, HLD, DM, CAD s/p PCI, Former Tobacco Use, Atrial Fibrillation LVEF 68% Stress MPI: Severe anterior ischemia….

Burr Entrapment 87-year-old male who presented with chest pain (CCS Class II). HTN, HLD, DM, CAD s/p PCI, Former Tobacco Use, Atrial Fibrillation LVEF 68% Stress MPI: Severe anterior ischemia….

Burr Entrapment 63-year-old male who presented with a NSTEMI. Underwent cardiac catheterization showing LM equivalent 3-Vessel CAD and was referred for surgical revascularization. However, he was deemed to high risk…

Burr Entrapment 63-year-old male who presented with a NSTEMI. Underwent cardiac catheterization showing LM equivalent 3-Vessel CAD and was referred for surgical revascularization. However, he was deemed to high risk…

Burr Entrapment 72-year-old female who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p 3-Vessel CABG, Asthma LVEF 60% Recent Cardiac Catheterization: Proximal LAD CTO, distal LCx…

Burr Entrapment 72-year-old female who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p 3-Vessel CABG, Asthma LVEF 60% Recent Cardiac Catheterization: Proximal LAD CTO, distal LCx…

Bypass Graft 73-year-old male who presented with chest pain (CCS Class IV). HTN, HLD, CAD s/p 3-Vessel CABG and Multiple PCI’s, Thyroid Cancer s/p Radiation Therapy, Pancreatitis LVEF 45% Stress…

Bypass Graft 73-year-old male who presented with chest pain (CCS Class IV). HTN, HLD, CAD s/p 3-Vessel CABG and Multiple PCI’s, Thyroid Cancer s/p Radiation Therapy, Pancreatitis LVEF 45% Stress…

Bypass Graft 75-year-old female who presented with chest pain (CCS Class IV). HTN, HLD, DM, Former Tobacco Use, CAD s/p 3-Vessel CABG and Multiple PCI’s, CKD, PAD LVEF 40% Stress…

Bypass Graft 75-year-old female who presented with chest pain (CCS Class IV). HTN, HLD, DM, Former Tobacco Use, CAD s/p 3-Vessel CABG and Multiple PCI’s, CKD, PAD LVEF 40% Stress…

Coronary Dissections Clinical Presentation 56-year-old female who presented with chest pain (CCS Class IV) associated with dyspnea. Referred for staged PCI of OM1 and RI. Past Medical History HTN, HLD,…

Coronary Dissections Clinical Presentation 56-year-old female who presented with chest pain (CCS Class IV) associated with dyspnea. Referred for staged PCI of OM1 and RI. Past Medical History HTN, HLD,…

Coronary Dissections 83-year-old female who presented with chest pain (CCS Class III) associated with dyspnea. Underwent cardiac catheterization which showed 2-Vessel CAD with LM involvement. She was subsequently referred for…

Coronary Dissections 83-year-old female who presented with chest pain (CCS Class III) associated with dyspnea. Underwent cardiac catheterization which showed 2-Vessel CAD with LM involvement. She was subsequently referred for…

Coronary Dissections 36-year-old female who presented with a NSTEMI. None Echocardiography: Anterior wall hypokinesis, LVEF 45-50%. Home Medications: None Adjunct Pharmacotherapy: Clopidogrel, Bivalirudin Previous Next 1 of 13 Angiographically normal…

Coronary Dissections 36-year-old female who presented with a NSTEMI. None Echocardiography: Anterior wall hypokinesis, LVEF 45-50%. Home Medications: None Adjunct Pharmacotherapy: Clopidogrel, Bivalirudin Previous Next 1 of 13 Angiographically normal…

Coronary Dissections 76-year-old female who presented with dyspnea. HTN, HLD, Asthma, COPD, GERD, OA, CKD LVEF 54% Stress MPI: Moderate apical and mild anteroseptal defect with reversibility. Home Medications: Aspirin,…

Coronary Dissections 76-year-old female who presented with dyspnea. HTN, HLD, Asthma, COPD, GERD, OA, CKD LVEF 54% Stress MPI: Moderate apical and mild anteroseptal defect with reversibility. Home Medications: Aspirin,…

Coronary Dissections 82-year-old female who presented with chest pain (CCS Class III). Referred for staged PCI of LAD/D1 bifurcation. HTN, HLD, CAD s/p PCI, Hypothyroidism LVEF 60% Prior Cardiac Catheterization:…

Coronary Dissections 82-year-old female who presented with chest pain (CCS Class III). Referred for staged PCI of LAD/D1 bifurcation. HTN, HLD, CAD s/p PCI, Hypothyroidism LVEF 60% Prior Cardiac Catheterization:…

Coronary Dissections 77-year-old female who presented with chest pain and found to have a NSTEMI. HTN, HLD, Former tobacco use, COPD, Lung cancer s/p XRT, Breast cancer s/p lumpectomy/XRT, hypothyroidism…

Coronary Dissections 77-year-old female who presented with chest pain and found to have a NSTEMI. HTN, HLD, Former tobacco use, COPD, Lung cancer s/p XRT, Breast cancer s/p lumpectomy/XRT, hypothyroidism…

Coronary Dissections 50-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p PCI, CVA, Active Tobacco Use, GERD LVEF 64% Stress MPI: Moderate-size reversible size…

Coronary Dissections 50-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p PCI, CVA, Active Tobacco Use, GERD LVEF 64% Stress MPI: Moderate-size reversible size…

Coronary Dissections 76-year-old male who presented with chest pain (CCS Class III), referred for staged PCI of LAD CTO. HTN, HLD, DM, CAD s/p PCI, ESRD on Dialysis, BPH, Multiple…

Coronary Dissections 76-year-old male who presented with chest pain (CCS Class III), referred for staged PCI of LAD CTO. HTN, HLD, DM, CAD s/p PCI, ESRD on Dialysis, BPH, Multiple…

Coronary Dissections 56-year-old male who presented with chest pain and found to have a NSTEMI. HLD, Psoriatic Arthritis, Former Tobacco Use, Anxiety Echocardiography: Inferior, anterior, and anteroseptal wall hypokinesis, LVEF…

Coronary Dissections 56-year-old male who presented with chest pain and found to have a NSTEMI. HLD, Psoriatic Arthritis, Former Tobacco Use, Anxiety Echocardiography: Inferior, anterior, and anteroseptal wall hypokinesis, LVEF…

Coronary Dissections 75-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Hyperlipidemia, CAD s/p PCI, Severe Aortic Stenosis s/p TAVR with 34mm Evolut R CoreValve with mild-moderate…

Coronary Dissections 75-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Hyperlipidemia, CAD s/p PCI, Severe Aortic Stenosis s/p TAVR with 34mm Evolut R CoreValve with mild-moderate…

Coronary Dissections 50-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM2, GERD LVEF 60% Prior Cardiac Catheterization: Anomalous RCA with mid RCA 90-95% stenosis, mid LAD…

Coronary Dissections 50-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM2, GERD LVEF 60% Prior Cardiac Catheterization: Anomalous RCA with mid RCA 90-95% stenosis, mid LAD…

Coronary Dissections 86-year-old female who presented with chest pain to an outside hospital and underwent cardiac catheterization showing severe 3-Vessel CAD with LM involvement. She was referred for complex PCI….

Coronary Dissections 86-year-old female who presented with chest pain to an outside hospital and underwent cardiac catheterization showing severe 3-Vessel CAD with LM involvement. She was referred for complex PCI….

Stent Deformation 68-year-old male who presented with chest pain (CCS Class III). HLD, Former Tobacco Use, CAD s/p Multiple PCI’s, AICD, Anxiety, Depression, Homocysteinemia, IBS, Hypothyroidism LVEF…

Stent Deformation 68-year-old male who presented with chest pain (CCS Class III). HLD, Former Tobacco Use, CAD s/p Multiple PCI’s, AICD, Anxiety, Depression, Homocysteinemia, IBS, Hypothyroidism LVEF…

Stent Deformation 52-year-old female who presented with chest pain (CCS Class IV). HTN, HLD, DM, Former Tobacco Use, CAD s/p 1-Vessel CABG and Multiple PCI’s, PAD s/p PTCA, GERD LVEF…

Stent Deformation 52-year-old female who presented with chest pain (CCS Class IV). HTN, HLD, DM, Former Tobacco Use, CAD s/p 1-Vessel CABG and Multiple PCI’s, PAD s/p PTCA, GERD LVEF…

Slow Flow-No Reflow 77-year-old male who presented with chest pain (CCS Class III) and was referred for IVBT. HTN, HLD, CAD s/p 3-Vessel CABG followed by Multiple PCI’s, Atrial Fibrillation,…

Slow Flow-No Reflow 77-year-old male who presented with chest pain (CCS Class III) and was referred for IVBT. HTN, HLD, CAD s/p 3-Vessel CABG followed by Multiple PCI’s, Atrial Fibrillation,…

Slow Flow-No Reflow 65-year-old male who presented with chest pain (CCS Class II). Underwent cardiac catheterization showing 3-Vessel CAD. Patient was referred for surgical evaluation but refused surgical revascularization, and…

Slow Flow-No Reflow 65-year-old male who presented with chest pain (CCS Class II). Underwent cardiac catheterization showing 3-Vessel CAD. Patient was referred for surgical evaluation but refused surgical revascularization, and…

Slow Flow-No Reflow 90-year-old male who presented with chest pain (CCS Class III). Underwent cardiac catheterization which revealed severe 2-Vessel CAD involving the LM-LAD. Patient was referred for surgical evaluation…

Slow Flow-No Reflow 90-year-old male who presented with chest pain (CCS Class III). Underwent cardiac catheterization which revealed severe 2-Vessel CAD involving the LM-LAD. Patient was referred for surgical evaluation…

Slow Flow-No Reflow 70-year-old female who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use, CAD s/p Multiple PCI’s, CVA, OSA, , IBS, UC LVEF 56%…

Slow Flow-No Reflow 70-year-old female who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use, CAD s/p Multiple PCI’s, CVA, OSA, , IBS, UC LVEF 56%…

Perforation 54-year-old female who presented with chest pain (CCS Class III) and was referred for IVBT. HTN, HLD, Active Tobacco Use, CAD s/p Multiple PCI’s, Sarcoidosis, Neuropathy (receiving IVIG therapy),…

Perforation 54-year-old female who presented with chest pain (CCS Class III) and was referred for IVBT. HTN, HLD, Active Tobacco Use, CAD s/p Multiple PCI’s, Sarcoidosis, Neuropathy (receiving IVIG therapy),…

Coronary Perforations 82-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Former Tobacco Use, Asthma LVEF unknown ETT: Abnormal. High risk. Prior Cardiac Catheterization: LAD FFR =…

Coronary Perforations 82-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Former Tobacco Use, Asthma LVEF unknown ETT: Abnormal. High risk. Prior Cardiac Catheterization: LAD FFR =…

Coronary Perforations 65-year-old male who presented with chest pain (CCS Class II). HTN, HLD, CAD s/p PCI, Active Tobacco Use LVEF 60% Stress MPI: Moderate anterior ischemia. Home Medications: Aspirin,…

Coronary Perforations 65-year-old male who presented with chest pain (CCS Class II). HTN, HLD, CAD s/p PCI, Active Tobacco Use LVEF 60% Stress MPI: Moderate anterior ischemia. Home Medications: Aspirin,…

Coronary Perforations 70-year-old male who presented with chest pain (CCS Class III). HTN, HLD, CAD, DVT/PE (2009) LVEF 60% Cardiac CTA: Severe 3-Vessel CAD. Prior Cardiac Catheterization: Distal LM 60-70%…

Coronary Perforations 70-year-old male who presented with chest pain (CCS Class III). HTN, HLD, CAD, DVT/PE (2009) LVEF 60% Cardiac CTA: Severe 3-Vessel CAD. Prior Cardiac Catheterization: Distal LM 60-70%…

Coronary Perforations 55-year-old male who presented with chest pain (CCS Class II). Referred for IVBT of the RCA. HTN, HLD, DM, CAD s/p PCI, Asthma LVEF 50% Stress MPI: Moderate…

Coronary Perforations 55-year-old male who presented with chest pain (CCS Class II). Referred for IVBT of the RCA. HTN, HLD, DM, CAD s/p PCI, Asthma LVEF 50% Stress MPI: Moderate…

Coronary Perforations 57-year-old male who presented with a NSTEMI. Former Tobacco Use Echocardiography: Inferior wall hypokinesis; LVEF 60-65% Home Medications: None Adjunct Pharmacotherapy: Clopidogrel, Bivalirudin Previous Next 1 of 9…

Coronary Perforations 57-year-old male who presented with a NSTEMI. Former Tobacco Use Echocardiography: Inferior wall hypokinesis; LVEF 60-65% Home Medications: None Adjunct Pharmacotherapy: Clopidogrel, Bivalirudin Previous Next 1 of 9…

Coronary Perforations 76-year-old female who presented with chest pain (CCS Class III). HTN, HLD, CAD s/p PCI, CVA LVEF 60% Stress MPI: Mild to moderate size inferior perfusion defect. Home…

Coronary Perforations 76-year-old female who presented with chest pain (CCS Class III). HTN, HLD, CAD s/p PCI, CVA LVEF 60% Stress MPI: Mild to moderate size inferior perfusion defect. Home…

Coronary Perforations 48-year-old male who presented with chest pain (CCS Class IV). HTN, HLD, DM, CAD s/p Multiple PCI’s LVEF 60% Prior Cardiac Catheterization: RCA 100% thrombotic lesion s/p PCI….

Coronary Perforations 48-year-old male who presented with chest pain (CCS Class IV). HTN, HLD, DM, CAD s/p Multiple PCI’s LVEF 60% Prior Cardiac Catheterization: RCA 100% thrombotic lesion s/p PCI….

Coronary Perforations 63-year-old male who presented with chest pain (CCS Class III). HLD, Active Tobacco Use, Anemia, Gastric Ulcer s/p Cauterization, Prostate Cancer s/p Prostatectomy LVEF 50% Stress Echocardiogram: ST…

Coronary Perforations 63-year-old male who presented with chest pain (CCS Class III). HLD, Active Tobacco Use, Anemia, Gastric Ulcer s/p Cauterization, Prostate Cancer s/p Prostatectomy LVEF 50% Stress Echocardiogram: ST…

Coronary Perforations 82-year-old female who presented with chest pain (CCS Class II) and was referred for staged PCI of the RCA. HTN, HLD, CAD s/p multiple PCI’s, Former Tobacco Use…

Coronary Perforations 82-year-old female who presented with chest pain (CCS Class II) and was referred for staged PCI of the RCA. HTN, HLD, CAD s/p multiple PCI’s, Former Tobacco Use…

Coronary Perforations 67-year-old male who presented with chest pain (CCS Class III) and referred for PCI of the LAD-D1. HTN, HLD, DM, CAD s/p 3-Vessel CABG and Multiple PCI’s, TIA,…

Coronary Perforations 67-year-old male who presented with chest pain (CCS Class III) and referred for PCI of the LAD-D1. HTN, HLD, DM, CAD s/p 3-Vessel CABG and Multiple PCI’s, TIA,…

Coronary Perforations 83-year-old female who presented with a NSTEMI. HTN, HLD, DM, CAD s/p 3 vessel CABG, AFIB, COPD, Hypothyroidism, GERD, Severe AS, Moderate MR, Moderate TR LVEF 60% Prior…

Coronary Perforations 83-year-old female who presented with a NSTEMI. HTN, HLD, DM, CAD s/p 3 vessel CABG, AFIB, COPD, Hypothyroidism, GERD, Severe AS, Moderate MR, Moderate TR LVEF 60% Prior…

Coronary Perforations 81-year-old female who presented to an outside hospital with a NSTEMI and cardiogenic shock. Cardiac catheterization showed severe 3-vessel CAD with LM involvement, severely reduced LV systolic function…

Coronary Perforations 81-year-old female who presented to an outside hospital with a NSTEMI and cardiogenic shock. Cardiac catheterization showed severe 3-vessel CAD with LM involvement, severely reduced LV systolic function…

Coronary Perforations 54-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Active Tobacco Use LVEF 65% Prior Cardiac Catheterization: Mid LAD 70-80% stenosis in a myocardial bridge…

Coronary Perforations 54-year-old male who presented with chest pain (CCS Class III). HTN, HLD, Active Tobacco Use LVEF 65% Prior Cardiac Catheterization: Mid LAD 70-80% stenosis in a myocardial bridge…

Coronary Perforations 81-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p Multiple PCI’s, Former Tobacco Use, Gout LVEF 60% Stress MPI: Moderate size perfusion…

Coronary Perforations 81-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, CAD s/p Multiple PCI’s, Former Tobacco Use, Gout LVEF 60% Stress MPI: Moderate size perfusion…

Coronary Perforations 48-year-old male who presented with chest pain (CCS Class III) and was referred for staged PCI of LPL1 CTO. HTN, HLD, DM, CAD s/p multiple PCI’s, Former Tobacco…

Coronary Perforations 48-year-old male who presented with chest pain (CCS Class III) and was referred for staged PCI of LPL1 CTO. HTN, HLD, DM, CAD s/p multiple PCI’s, Former Tobacco…

Coronary Perforations Clinical Presentation 87-year-old female who presented with chest pain (CCS Class II) and was referred for staged PCI of the LAD. Past Medical History HTN, HLD, DM, CAD…

Coronary Perforations Clinical Presentation 87-year-old female who presented with chest pain (CCS Class II) and was referred for staged PCI of the LAD. Past Medical History HTN, HLD, DM, CAD…

Coronary Perforations 64-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use Stress MPI: Mild to moderate ischemia with reversibility in the RCA and…

Coronary Perforations 64-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use Stress MPI: Mild to moderate ischemia with reversibility in the RCA and…

Pseudo-Stenosis/Accordion 63-year-old female who presented with chest pain (CCS Class II). HTN, HLD, Former Tobacco Use LVEF 65% Stress MPI: Small area of mild anterior ischemia. Home Medications: Aspirin, Atorvastatin,…

Pseudo-Stenosis/Accordion 63-year-old female who presented with chest pain (CCS Class II). HTN, HLD, Former Tobacco Use LVEF 65% Stress MPI: Small area of mild anterior ischemia. Home Medications: Aspirin, Atorvastatin,…

Slow Flow-No Reflow 86-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use, CAD s/p 3 vessel CABG (SVG to RCA known to be…

Slow Flow-No Reflow 86-year-old male who presented with chest pain (CCS Class III). HTN, HLD, DM, Former Tobacco Use, CAD s/p 3 vessel CABG (SVG to RCA known to be…

Slow Flow-No Reflow 76-year-old female who presented with chest pain (CCS Class III) and was referred for staged PCI of the RCA. HTN, HLD, Active Tobacco Use, COPD, GERD LVEF…

Slow Flow-No Reflow 76-year-old female who presented with chest pain (CCS Class III) and was referred for staged PCI of the RCA. HTN, HLD, Active Tobacco Use, COPD, GERD LVEF…

Slow Flow-No Reflow 60-year-old male who presented with chest pain (CCS Class III) and was referred for staged PCI of RCA. HTN, HLD, DM, Former Tobacco Use, CAD s/p Multiple…

Slow Flow-No Reflow 60-year-old male who presented with chest pain (CCS Class III) and was referred for staged PCI of RCA. HTN, HLD, DM, Former Tobacco Use, CAD s/p Multiple…

Vasospasm 73-year-old male who presented with chest pain (CCS Class II). HTN, HLD, DM, CAD s/p 2-Vessel CABG and Multiple PCI’s, Hypothyroidism, CKD LVEF 19% Stress MPI: Mild anteroseptal and…

Vasospasm 73-year-old male who presented with chest pain (CCS Class II). HTN, HLD, DM, CAD s/p 2-Vessel CABG and Multiple PCI’s, Hypothyroidism, CKD LVEF 19% Stress MPI: Mild anteroseptal and…

Vasospasm 61-year-old female who presented with a NSTEMI. HTN, HLD, GERD, Depression Echocardiography: Global Hypokinesis, LVEF 45-50%. Home Medications: Aspirin, Atorvastatin, Nifedipine, Hydrochlorothiazide, Omeprazole, Albuterol, Venlafaxine, Sertraline Adjunct Pharmacotherapy: Clopidogrel,…

Vasospasm 61-year-old female who presented with a NSTEMI. HTN, HLD, GERD, Depression Echocardiography: Global Hypokinesis, LVEF 45-50%. Home Medications: Aspirin, Atorvastatin, Nifedipine, Hydrochlorothiazide, Omeprazole, Albuterol, Venlafaxine, Sertraline Adjunct Pharmacotherapy: Clopidogrel,…

Wire Bias 71-year-old male who presented with chest pain (CCS Class II) and was referred for staged PCI of the LCx-LPL1. HTN, HLD, Former Tobacco Use, CAD s/p PCI, PAD,…

Wire Bias 71-year-old male who presented with chest pain (CCS Class II) and was referred for staged PCI of the LCx-LPL1. HTN, HLD, Former Tobacco Use, CAD s/p PCI, PAD,…

Wire Fracture 62-year-old male who presented to the hospital with chest pain (CCS Class III) and was referred for protected LM-LCx PCI. HTN, HLD, DM, CAD s/p 4-Vessel CABG, CKD…

Wire Fracture 62-year-old male who presented to the hospital with chest pain (CCS Class III) and was referred for protected LM-LCx PCI. HTN, HLD, DM, CAD s/p 4-Vessel CABG, CKD…

Wire Fracture 63-year-old female who presented with chest pain (CCS Class III), and was referred for staged PCI of the proximal LCx and OM1. HTN, HLD, DM, CAD s/p Multiple…

Wire Fracture 63-year-old female who presented with chest pain (CCS Class III), and was referred for staged PCI of the proximal LCx and OM1. HTN, HLD, DM, CAD s/p Multiple…

Wire Fracture 77-year-old male who presented with chest pain (CCS Class 3). HTN, HLD, DM, CAD s/p 3-Vessel CABG Followed by Multiple PCI’s, Asthma, Former Tobacco Use, COPD LVEF 60%…

Wire Fracture 77-year-old male who presented with chest pain (CCS Class 3). HTN, HLD, DM, CAD s/p 3-Vessel CABG Followed by Multiple PCI’s, Asthma, Former Tobacco Use, COPD LVEF 60%…

Acute Stent Thrombosis 63-year-old male who presented with chest pain (CCS Class 3), and was referred for PCI of the LM trifurcation. HTN, HLD, DM, Former Tobacco Use, CAD s/p…

Acute Stent Thrombosis 63-year-old male who presented with chest pain (CCS Class 3), and was referred for PCI of the LM trifurcation. HTN, HLD, DM, Former Tobacco Use, CAD s/p…

IVUSAID Case 1

distal LM

bifurcation

mini-crush

A 68-year-old female presented with new onset CCS Class III angina and positive SPECT MPI for multi-vessel ischemia. A coronary angiography revealed multi-vessel CAD with 80% stenosis at the distal…

IVUSAID Case 1

distal LM

bifurcation

mini-crush

A 68-year-old female presented with new onset CCS Class III angina and positive SPECT MPI for multi-vessel ischemia. A coronary angiography revealed multi-vessel CAD with 80% stenosis at the distal…

IVUSAID - Case 2

40-year-old female

LM/LAD

SCAD

false lumen

A 40-year old female (one month postpartum) underwent PCI two months prior due to chest pain and SOB. SCAD was detected and treated with two stents placed in the LM…

IVUSAID - Case 2

40-year-old female

LM/LAD

SCAD

false lumen

A 40-year old female (one month postpartum) underwent PCI two months prior due to chest pain and SOB. SCAD was detected and treated with two stents placed in the LM…

IVUSAID - Case 3

proximal LM

filling defect

calcified nodule

A 76-year-old male had presented with chest pain with left shoulder radiation and shortness of breath to outside hospital one week prior. The patient was found to have elevated troponin-I…

IVUSAID - Case 3

proximal LM

filling defect

calcified nodule

A 76-year-old male had presented with chest pain with left shoulder radiation and shortness of breath to outside hospital one week prior. The patient was found to have elevated troponin-I…

IVUSAID - Case 4

LM bifurcation

calcified nodule

RA

mini-crush

An 81-year-old male with progressive worsening DOE was admitted to an outside hospital with hypertensive crisis and pulmonary edema. After coronary CTA showed 3V CAD with positive CT-FFR, he was…

IVUSAID - Case 4

LM bifurcation

calcified nodule

RA

mini-crush

An 81-year-old male with progressive worsening DOE was admitted to an outside hospital with hypertensive crisis and pulmonary edema. After coronary CTA showed 3V CAD with positive CT-FFR, he was…

IVUSAID - Case 5

ACS

culprit lesion

attenuated plaque

A 65-year-old male with CCS Class IV chest pain, elevated troponin with peak of 1.5 ng/mL, and EKG with massive anterior T wave inversions transferred from OSH to our hospital….

IVUSAID - Case 5

ACS

culprit lesion

attenuated plaque

A 65-year-old male with CCS Class IV chest pain, elevated troponin with peak of 1.5 ng/mL, and EKG with massive anterior T wave inversions transferred from OSH to our hospital….

IVUSAID - Case 6

LAD/D1

mini-crush

CBA

A 74-year-old male presented with intermittent dizziness and left side chest pressure occurring anytime to outside hospital. He has a history of hypertension, hyperlipidemia, BPH and progressive aortic stenosis. His…

IVUSAID - Case 6

LAD/D1

mini-crush

CBA

A 74-year-old male presented with intermittent dizziness and left side chest pressure occurring anytime to outside hospital. He has a history of hypertension, hyperlipidemia, BPH and progressive aortic stenosis. His…

IVUSAID - Case 7

filling defect

malapposition

underexpansion

A 55-year-old male came to the outpatient clinic because he had recently become aware of chest and shoulder pain associated with exertion. He had a history of multiple PCI procedures,…

IVUSAID - Case 7

filling defect

malapposition

underexpansion

A 55-year-old male came to the outpatient clinic because he had recently become aware of chest and shoulder pain associated with exertion. He had a history of multiple PCI procedures,…

LM/LCX

provisional stenting

LM ostium

A 74-year-old male with chest pain for the past day came to outside hospital for coronary angiography, which showed 95% stenosis of the LM, 80-90% stenosis of the proximal LCX,…

LM/LCX

provisional stenting

LM ostium

A 74-year-old male with chest pain for the past day came to outside hospital for coronary angiography, which showed 95% stenosis of the LM, 80-90% stenosis of the proximal LCX,…

IVUSAID - Case 9

ISR

calcified neoatherosclerosis

excimer laser

A 75-year-old male presented with new onset CCS class III angina to our hospital. Patient has history of hypertension, IDDM, hyperlipidemia and has had multiple PCI procedures. Most recently, 5…

IVUSAID - Case 9

ISR

calcified neoatherosclerosis

excimer laser

A 75-year-old male presented with new onset CCS class III angina to our hospital. Patient has history of hypertension, IDDM, hyperlipidemia and has had multiple PCI procedures. Most recently, 5…

IVUSAID - Case 10

LM/LAD

ostial LM

stent protrusion

A 74-year-old male presented with worsening angina symptoms and shortness of breath on exertion to our hospital. He has a history of prior MI, hypertension, NIDDM, hyperlipidemia and has had…

IVUSAID - Case 10

LM/LAD

ostial LM

stent protrusion

A 74-year-old male presented with worsening angina symptoms and shortness of breath on exertion to our hospital. He has a history of prior MI, hypertension, NIDDM, hyperlipidemia and has had…

IVUSAID - Case 11

ostial LM

dissection

hematoma

underexpansion

A 54-year-old female presented for an elective PCI for unstable angina to an outside hospital. Coronary angiography revealed an ostial LAD stenosis of 80% with positive iFR. During wiring of…

IVUSAID - Case 11

ostial LM

dissection

hematoma

underexpansion

A 54-year-old female presented for an elective PCI for unstable angina to an outside hospital. Coronary angiography revealed an ostial LAD stenosis of 80% with positive iFR. During wiring of…

IVUSAID - Case 12

LAD

landing zones

stent diameter

stent length

A 73-year-old male had presented with angina on exertion to our hospital. SPECT-MPI test showed apical and lateral wall ischmeia. He had a history of hypertension, dyslipidemia, ESRD (on dialysis),…

IVUSAID - Case 12

LAD

landing zones

stent diameter

stent length

A 73-year-old male had presented with angina on exertion to our hospital. SPECT-MPI test showed apical and lateral wall ischmeia. He had a history of hypertension, dyslipidemia, ESRD (on dialysis),…

IVUSAID - Case 13

ostial LCX

stent sizing

KBI

A 75-year-old male presented with new onset CCS class III angina. The patient had a history of PCI with two stents implanted in the proximal and mid LAD. Coronary angiography…

IVUSAID - Case 13

ostial LCX

stent sizing

KBI

A 75-year-old male presented with new onset CCS class III angina. The patient had a history of PCI with two stents implanted in the proximal and mid LAD. Coronary angiography…

IVUSAID - Case 14

LM/LAD

bifurcation

RA

CBA

IVL

A 70-year-old male had presented with angina on exertion for 1 week to outside hospital. He had associated exacerbation of CHF and found to have LM disease, and transferred to…

IVUSAID - Case 14

LM/LAD

bifurcation

RA

CBA

IVL

A 70-year-old male had presented with angina on exertion for 1 week to outside hospital. He had associated exacerbation of CHF and found to have LM disease, and transferred to…

LM/LAD

RA

gross malapposition

A 60-year-old male came from an outside hospital with chest pain as his chief complaint. Coronary angiography was performed by his previous physician which revealed a 2-vessel lesion with ostial…

LM/LAD

RA

gross malapposition

A 60-year-old male came from an outside hospital with chest pain as his chief complaint. Coronary angiography was performed by his previous physician which revealed a 2-vessel lesion with ostial…

ISR

calcification

underexpansion

malapposition

A 54-year-old male had been admitted to our hospital with exertional chest pain and a history of prior MI, hypertension, hyperlipidemia, and multiple PCI procedures. Echocardiography showed reduced left ventricular…

ISR

calcification

underexpansion

malapposition

A 54-year-old male had been admitted to our hospital with exertional chest pain and a history of prior MI, hypertension, hyperlipidemia, and multiple PCI procedures. Echocardiography showed reduced left ventricular…

ISR

calcified neoatherosclerosis

underexpansion

A 58-year-old male was admitted to our hospital for cardiac catheterization after a positive preoperative SPECT-MPI test for non-cardiac surgery. He has a history of hypertension, IDDM, ESRD (on dialysis),…

ISR

calcified neoatherosclerosis

underexpansion

A 58-year-old male was admitted to our hospital for cardiac catheterization after a positive preoperative SPECT-MPI test for non-cardiac surgery. He has a history of hypertension, IDDM, ESRD (on dialysis),…

ISR

neointimal hyperplasia

underexpansion

A 58-year-old male presented with CCS class III chest pain to our hospital. He had a history of hypertension, diabetes mellitus, hyperlipidemia, and multiple PCIs. Most recently, a year ago,…

ISR

neointimal hyperplasia

underexpansion

A 58-year-old male presented with CCS class III chest pain to our hospital. He had a history of hypertension, diabetes mellitus, hyperlipidemia, and multiple PCIs. Most recently, a year ago,…

LAD/D1

mini-crush

stent edge dissection

A 53-year-old female presented with CCS class III angina to our hospital. The patient had a history of hypertension, diabetes mellitus, and hyperlipidemia. CT angiography showed severe stenosis in the…

LAD/D1

mini-crush

stent edge dissection

A 53-year-old female presented with CCS class III angina to our hospital. The patient had a history of hypertension, diabetes mellitus, and hyperlipidemia. CT angiography showed severe stenosis in the…

NIRS

LCBI

lipid rich plaque

A 60-year-old male presented with CCS class II angina and positive stress test. Coronary angiography revealed a total occlusion in the LCX and a 30-50% stenosis in proximal and mid…

NIRS

LCBI

lipid rich plaque

A 60-year-old male presented with CCS class II angina and positive stress test. Coronary angiography revealed a total occlusion in the LCX and a 30-50% stenosis in proximal and mid…

NIRS

LCBI

PCI

stent sizing

A 52-year-old female presented with CCS class III chest pain to our hospital. The patient had a history of hypertension, diabetes mellitus, and hyperlipidemia. A coronary angiography showed a 80-90%…

NIRS

LCBI

PCI

stent sizing

A 52-year-old female presented with CCS class III chest pain to our hospital. The patient had a history of hypertension, diabetes mellitus, and hyperlipidemia. A coronary angiography showed a 80-90%…

Case ExamplesEducational Content

ATHERECTOMY COMPLICATIONS

Case ExamplesEducational Content

BYPASS GRAFT COMPLICATIONS

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