How to manage complex calcified coronary disease in severe LV failure?

An 83-year-old woman with multiple cardiovascular risk factors presented with non-ST-elevation myocardial infarction (NSTEMI) and severe left ventricular dysfunction with very low ejection fraction, complicated by haemodynamic instability in the setting of complex heavily calcified coronary disease.

How should such a high-risk case be managed?

Euro4C

Authors

Petros Dardas

Interventional cardiologist / Cardiologist

St. Luke's Hospital S.A. - THESSALONIKI, Greece

Nikolaos Mezilis

Interventional cardiologist / Cardiologist

St. Luke's Hospital S.A. - Thessaloniki, Greece