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Edge Dissection in Left Anterior Descending (LAD)

Patient History

  • A 58 year old male
  • Shortness of breath with exertion
  • Abnormal stress test

Post-PCI Angiography (1)

Angiography after 2 stents in LAD

Post-PCI angiography (1)

Post-PCI HD IVUS

Post-PCI HD IVUS reveals a dissection proximal to the distal stent

Post-PCI HD IVUS
Post-PCI HD IVUS measurements - MLA: 2.82 mm2

Post-PCI Angiography (2)

Stent across dissection based on post-PCI HD IVUS data

Post-PCI angiography (2) – View 1
Post-PCI angiography (2) – View 2

Conclusion

HD IVUS reveals dissection in LAD and facilitates optimal end result

Baseline Angiography

Baseline angiography of LAD – View 1

Baseline Angiography

Baseline angiography of LAD – View 2

Baseline Angiography

Baseline Pre-PCI FFR measurements using ACIST RXi

Post-PCI Angiography (1)

Post-PCI angiography (1)

Post-PCI HD IVUS

Post-PCI HD IVUS

Post-PCI HD IVUS

Post-PCI HD IVUS measurements - MLA: 2.82 mm2

Post-PCI Angiography (2)

Post-PCI angiography (2) – View 1

Post-PCI Angiography (2)

Post-PCI angiography (2) – View 2