Contemporary PCI & Calcium Management Strategies, A Case-Based Discussion-Case 2: Managing Long Diffuse Coronary Artery Disease

Case 2: Managing Long Diffuse Coronary Artery Disease

Video Transcription

Video Summary

The case discussed in the video involves a 74-year-old woman with severe coronary artery disease and calcification. The patient had comorbidities such as diabetes, COPD, and anxiety. The surgeon deemed her unsuitable for bypass surgery due to her comorbidities and anxiety. The operator decided to tackle the right coronary artery first using non-compliant balloons and stenting. They successfully modified a nodule at the ostium and achieved good stent expansion. They then treated the left main and circumflex arteries using shockwave therapy and successfully expanded the stent. The case highlights the use of different strategies to treat diffuse calcium and the potential benefits of shockwave therapy in women with coronary artery disease.

Asset Subtitle

Margaret McEntegart, MD, PhD

Keywords

coronary artery disease

calcification

comorbidities

shockwave therapy

women