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Serial Lesion in Left Anterior Descending (LAD)

Patient History

  • 75 year old male
  • Angina at low level exercise
  • FFR: 0.80

Baseline Angiography

Baseline LAD Angiography

Baseline angiography of LAD

Post-PCI Angiography

Distal lesion was stented. FFR after stenting: 0.85

Post-PCI angiography of mid-LAD

Conclusion

Based on FFR and HD IVUS the proximal LAD lesion was left untreated

Baseline Angiography

Baseline angiography of LAD

Baseline HD IVUS

Baseline HD IVUS of mid-LAD lesion

Baseline HD IVUS

Baseline HD IVUS mid-LAD measurements - MLA: 2.1 mm2

Baseline HD IVUS

Baseline HD IVUS of proximal LAD lesion

Baseline HD IVUS

Baseline HDI IVUS of proximal LAD measurements – MLA: 3.5 mm2

Post-PCI Angiography

Post-PCI angiography of mid-LAD