Complex PCI of LAD CTO and Diagonal System - December 16, 2014 Webcast

70 year-old diabetic male with new onset angina, CCS Class I and strongly positive MPI for large anterior wall ischemia and transient ischemic LV dilatation. A Cardiac Cath at outside hospital on October 8, 2014 revealed 1V CAD; calcified CTO of mid LAD and severe stenosis of D2 with non-obstructive circumflex and RCA and LVEF 55%; SYNTAX Score 18. Mid LAD is totally occluded and fills via bridge collaterals and via retrograde collaterals from diagonal. In view of complex calcified lesions CABG was recommended, but patient declined and opted for complex PCI. Patient is now planned for complex PCI of LAD CTO and Diagonal System.