Die Hard: high-risk PCI in calcified LM and severe LV dysfunction

Euro4C Case

How would you treat an extremely calcified sub-occluded LM in a 72-year-old man presenting on "dependent stability and sliding on inotropes"(*), refused by surgery?

(*) INTERMACS III to II

Euro4C

Authors

Flavio Luciano Ribichini

Interventional cardiologist / Cardiologist

University of Verona - Verona, Italy

Gabriele Pesarini

Interventional cardiologist / Cardiologist

Azienda Ospedaliera Universitaria di Verona - VR, Italy

Mattia Lunardi

Interventional cardiologist / Cardiologist

Policlinico Universitario “Agostino Gemelli” - Roma, Italy