85 year-old male with longstanding stable angina controlled on medical therapy now presented with CCS Class III angina. A Cardiac Cath on September 5, 2014 revealed III Vessel CAD, multiple calcified lesions in RCA, LAD, LCx with severe systolic LV Dysfunction (LVEF 26%); SYNTAX Score of 42.5. A Cardiac MRI revealed myocardial viability in all three vessel distribution segments. Patient was recommended CABG and after the Heart Team discussion, patient and family declined CABG. Then patient underwent rotational atherectomy followed by the Promus PREMIER DES (3.5/28 & 3.0/28mm) in proximal and mid LAD. Patient has multiple 80-90% calcified lesions in RCA including ostial lesion. Patient is now planned for complex PCI of heavily calcified RCA incorporating rotational atherectomy and Ostial Flash System.

свернуть