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 HD IVUS

Baseline HD IVUS of mid-LAD lesion looks severe. HD IVUS of proximal LAD reveals not very impressive narrowing.

Post-PCI Angiography

Distal lesion was stented. FFR after stenting: 0.85

Conclusion

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