Case & Plan:
72-year-old male presented with new onset CCS Class III angina with paroxysmal Afib, recent GI bleeding and prior PFO closure. A Cardiac Cath on June 8, 2023 revealed 2 V CAD: heavily calcified 80% proximal LAD, 90% LAD-D1 bifurcation, calcified 90% LCx-OM1 with SYNTAX Score of 21 and normal LV function. FFR was + for both LAD and LCx. Patient underwent successful Rota DES PCI of LCx-OM1 with excellent results. Patient is now planned for complex PCI using rotational atherectomy of both LAD and diagonal bifurcation followed by Mini-Crush stenting.
