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Baseline HD IVUS for Calcified Left Anterior Descending (LAD) lesion

Patient History

  • 74 year old male
  • Admitted with chest pain
  • Diagnostic case
  • Troponin mildly elevated
  • Echo shows ejection fraction (EF) of 20%
  • Referred for angiography

Baseline Angiography

Baseline angiography of LAD reveals a hazy area in proximal LAD

Baseline angiography of LAD – View 1
Baseline angiography of LAD – View 2

Conclusion

HD IVUS was able to reveal several calcified lesions including a calcified nodule in the LAD

Baseline Angiography

Baseline angiography of LAD – View 1

Baseline Angiography

Baseline angiography of LAD – View 2

Baseline HD IVUS

Baseline HD IVUS of proximal LAD lesion

Baseline HD IVUS

Baseline HD IVUS measurement of 1st calcified lesion – MLA: 3.84 mm2

Baseline HD IVUS

Baseline HD IVUS measurements of 2nd calcified lesion – MLA: 2.47 mm2

Baseline HD IVUS

Baseline HD IVUS measurements of 3rd calcified lesion – MLA: 3.17 mm2

Baseline HD IVUS

Baseline HD IVUS measurements of 4th calcified lesion – MLA: 3.38 mm2