Originally broadcast LIVE from The Mount Sinai Hospital Cardiac Catheterization Laboratory, witness Samin K. Sharma, MD, FACC, FSCAI and Annapoorna S. Kini, MD, MRCP, FACC operate on a patient planned for staged PCI of mid LAD-D2 Bifurcation using 2-Stent Technique.
Case and Plan
74 year-old male with CKD Stage III presented with Class II angina and positive stress MPI for moderate inferoapical ischemia. A Cardiac Cath on July 6, 2018 revealed 3 V CAD: subtotal mid LAD (Medina 0,1,1) with 95% bifurcating LAD-D2, 90% proximal LCx, 95% RPDA and 80% RPL with SYNTAX Score of 22. On July 6, 2018 patient underwent PCI to RPDA and RPL1 using two Promus Premier DES and then successful PCI of prox LCx using Promus Premier DES. Patient continues to have class II angina on tolerated medical therapy. Patient is now planned for staged PCI of mid LAD-D2 bifurcation using dedicated 2-stent technique.
Complex Coronary Cases
Complex Coronary Cases is broadcast from The Mount Sinai Hospital Cardiac Catheterization Laboratory on the third Tuesday of each month from 8:00 am – 9:00 am (EDT).