16 May 2024
Multivessel disease PCI guided by physiology and IVUS - LIVE case
Operators:
J. Escaned, N. Gonzalo
Procedural Analyst:
S. Biscaglia
Summary
A 78-year-old woman with hypertension, dyslipidemia, and obesity, presented with angina CCS2 and preserved LV function. The coronary angiogram showed stenosis in the RCA (proximal and mid), CX, and calcified proximal and mid LAD involving D1 and D2.
The operators performed PCI on the RCA (1 stent) and PCI on the LAD with rotablation preparation and 2 stents in the mid and proximal LAD. The PCI was guided by physiology (iFR, FFR, QFR) and IVUS.
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LIVE Educational Case from Hospital Clínico San Carlos, Madrid - Spain
Key moments
- 07:20-08:59
22:26-23:30 - Physiology assessment before and after PCIs - 18:23-20:50
56:56-01:03:56
01:21:09-01:24:28 - IVUS runs - 33:10-46:30 - Rotablation (Burr1.5)
Keywords: Multivessel disease, QFR, FFR, iFR, IVUS, Rotablator
Learning Objectives
- To learn the physiology-based planning and guidance of PCI in multivessel disease
- To learn how to combined use of angio- and wire-based physiology tools
- To understand the synergic use of imaging and physiology tools for PCI optimisation
