International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 10 | Case Report | Open Access
Punish Sadana*
Department of Cardiology, Associate Director, Max Super Speciality Hospital, Dehradun, India
*Correspondence to: Punish Sadana
Fulltext PDFCoronary Artery Bypass Grafting (CABG) has long been considered the treatment of choice for unprotected left main coronary artery stenosis, particularly when the internal thoracic artery is used as a conduit. However, given the up-front risks of this procedure, coupled with improvements in Percutaneous Coronary Intervention (PCI) techniques and dramatic advances in stent technology, the primacy of CABG for ULMCA revascularization has been challenged. A calcified lesion requires either cutting balloons, Rotablation or IVL for good end results during PCI. Among patients with Left main PCI, those with high bleeding risk at increased risk for all cause death, MI and bleeding although rate of repeat intervention and stent thrombosis are comparable. Role of intracoronary imaging (IVUS or OCT) is important as proper stent expansion is vital to guide duration of antiplatelets. Transradialroute, choice of antiplatelet agent, multidisciplinary approach and teamwork helps in saving lives in such high-risk patients. We present a case of PCI in severely calcified Left Main disease in a octogenarian with high bleeding risk.
Complex High Risk Indicated PCI (CHIP); IVUS (Intravascular Ultrasound); OCT (Optical Coherence Tomography; PCI(Percutaneous Coronary Intervention); HBR(High Bleeding Risk)
Punish Sadana, Preeti Sharma. PCI in Severely Calcified Left Main in High Bleeding Risk Patient. Int Clinc Med Case Rep Jour. 2023;2(10):1-6.