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 HD IVUS

Baseline HD IVUS of the hazy proximal LAD lesion identified a calcium nodule and three additional severely calcified lesions

Conclusion

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