Return to HDi Case & Image Library »

Circumflex (CX) and Left Main (LM) Lesion

Patient History

  • 81 year old female
  • 3 years post TAVR
  • Angina
  • NSTEMI

Post-PCI Angiography

Mid-CX was stented

Post-PCI angiography

Conclusion

Based on HD IVUS, the mid-CX lesion was treated and the LM was left untreated

Baseline Angiography

Baseline angiography of Ostial / Mid-LM - View 1

Baseline Angiography

Baseline angiography of Ostial / Mid-LM – View 2

Baseline Angiography

Baseline angiography of Ostial / Mid-LM – Note midCX disease – View 3

Baseline HD IVUS

Baseline HD IVUS of mid-CX Lesion

Baseline HD IVUS

Baseline HD IVUS mid-CX measurements - MLA: 1.96 mm2

Baseline HD IVUS

Baseline HD IVUS of LM with wire in mid-CX

Baseline HD IVUS

Baseline HD IVUS of LM with wire in LAD

Baseline HD IVUS

Baseline HD IVUS LM measurements - MLA: 15.9 mm2

Post-PCI Angiography

Post-PCI angiography