Under-Expansion in the Circumflex (CX)

Return to HDi Case & Image Library Patient History 73 year old female Hypertension Hyperlipidemia Osteoporosis Right femur fracture from fall 4 days ago Troponin positive  Baseline Angiography Baseline angiography  Baseline angiography of CX Baseline HD IVUS Baseline HD IVUS of CX Baseline HD IVUS of CX Baseline HD IVUS measurements – MLA: 1.910 mm2 […]

In-stent restenosis (ISR) of Right Coronary Artery (RCA)

Return to HDi Case & Image Library Patient History ISR in the RCA FFR: 0.78 Inferior ischemia on Cardiolite®1 Baseline Angiography Baseline angiography of RCA Baseline angiography of RCA Baseline HD IVUS Baseline HD IVUS of proximal and mid-RCA lesions Baseline HD IVUS of RCA Baseline HD IVUS measurements of proximal RCA lesion – MLA: […]

Distal Left Main (LM)

Return to HDi Case & Image Library Patient History Not available Baseline Angiography Baseline angiography of LM. Baseline angiography of LM Baseline HD IVUS Baseline HD IVUS of LM performed at 2.5 mm/sec pullback speed. HD IVUS reveals a mildly calcified LM between Circumflex (CX) and Ramus. This was followed by two balloon dilations. Baseline […]

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

Return to HDi Case & Image Library 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 […]

Muscular Bridge in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History 70 year old Critical aortic stenosis Screening angiography reveals something strange in LAD Baseline Angiography Baseline angiography of LAD Baseline angiography of LAD – View 1 Baseline angiography of LAD – View 2 Baseline angiography of LAD – View 3 Baseline HD IVUS Baseline HD IVUS […]

Stent fracture in Right Coronary Artery (RCA)

Return to HDi Case & Image Library Patient History 75 year old female Recurrent angina at low level exercise Attempted stent placement 4 months earlier but stent would not pass Settled for plain old balloon angioplasty (POBA) 4 months later, severe restenosis after POBA Baseline Angiography Baseline angiography post–POBA from 4 months earlier Baseline POBA […]

Serial Lesion in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History 75 year old male Angina at low level exercise FFR: 0.80 Baseline Angiography Baseline LAD Angiography Baseline angiography of LAD Baseline HD IVUS Baseline HD IVUS of mid-LAD lesion looks severe. HD IVUS of proximal LAD reveals not very impressive narrowing. Baseline HD IVUS of mid-LAD […]

Circumflex (CX) and Left Main (LM) Lesion

Return to HDi Case & Image Library Patient History 81 year old female 3 years post TAVR Angina NSTEMI Baseline Angiography Baseline Ostial / Mid-LM with questionable lesion. Also note mid-CX disease. Baseline angiography of Ostial / Mid-LM – View 1 Baseline angiography of Ostial / Mid-LM – View 2 Baseline angiography of Ostial / […]

Edge Dissection in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History A 58 year old male Shortness of breath with exertion Abnormal stress test Baseline Angiography Baseline angiography of LAD Baseline angiography of LAD – View 1 Baseline angiography of LAD – View 2 Baseline Pre-PCI FFR measurements using ACIST RXi Post-PCI Angiography (1) Angiography after 2 stents […]

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