Diffuse Heavy Calcified Lesion of RCA Treated by RotablationNew

Operator: Seung-Jung Park, MD

- Case Presentation: A 66 years old male patient was admitted to our center for thallium SPECT abnormality for regular surveillance. She underwent PCI at proximal to mid LAD and distal RCA 11 years ago. He did not complain any symptom and showed negative result of treadmill test but reversible large sized perfusion defect in anterolateral and inferolateral wall was identified on follow-up thallium. He was underwent coronary angiography. The study showed patent previous coronary artery stent but diffuse heavy calcification and stenosis of RCA in RCA dominant coronary system. His coronary arterial risk factor was hypertension. The physical examination and electrocardiogram were unremarkable. Echocardiography revealed...More
V Stenting Technique to Severely Calcified ISR Lesions in Trifurcation with Protected LADNew

Operator: Jung-Min Ahn, MD

- Case Presentation: A 63 years old male patient visited to emergency department for chest pain during hemodialysis. He underwent CABG (LIMA to LAD, SVG to diagonal branch to PDA) 2 months ago. He also had history of prior PCI at LCX and RI 20 years before with BMSs. Because cardiac enzyme elevation was identified at the emergency department, he was hospitalized and underwent echocardiogram and coronary angiogram. Echocardiography showed reduced EF (49%) without regional wall motion abnormality, and CAG showed tight and calcified in-stent restenosis at trifurcation involving the LAD, LCX, and RI. As the LAD was protected with LIMA, we planned to treat LCX and RI lesions...More
  • Complex PCI

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