TOUGH LESION, TOUGHER DECISIONS: NIGHTMARES AND TROUBLESHOOTING IN THE CATH LAB
Researchers & Contributors
Dr. Parakh Gulati
MBBS MD (Medicine)
DM Resident
Department of Cardiology
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital
New Delhi, India
Dr. Puneet Aggarwal
MD DM
Associate Professor
Department of Cardiology
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital
New Delhi, India
Case Videos
Video 1
Coronary angiogram: 90% LCX stenosis, 70–80% MOM involvement
Video 2
Diffusely calcified and stenosed mid LAD
Video 3
Proximal RCA lesion
Video 4
Stented LCX-MOM segment
Video 5
Post-dilatation
Video 6
Exchange of the hydrophilic wire for a rota wire
Video 7
Burr entrapment
Video 8
Burr retrieval
Video 9
Advancement of the 1.5-mm burr at a higher rotational speed
Video 10
Post-rotablation IVUS assessment
Video 11
Grade 3 perforation in the distal LAD
Video 12
Balloon tamponade and deployment of a covered GraftMaster stent
Video 13
Stent deployment from the proximal to distal LAD
Video 14
Post-stenting IVUS showing mild stent under-expansion
Video 15
Final angiographic result showing TIMI III flow without worsening blush at the perforation site