Emerging Technologies Webinar Series: Disruptive Technology—Non-Invasive Assessment of Lesion-Specific Physiology-Case 1: Complex Coronary Nodular Lesion: A Case in Calcium Modification

Case 1: Complex Coronary Nodular Lesion: A Case in Calcium Modification

Video Transcription

Video Summary

The transcript discusses the case of a 61-year-old patient with complex coronary nodular lesion and calcium modification. The patient presented with syncope and had a life vest shock twice. They had a low EF of 27%, symptomatic runs of polymorphic VT, and moderate to severe mitral regurgitation. The patient had three-vessel coronary artery disease and no veins for bypass surgery due to a previous motor vehicle accident. The transcript goes on to describe the challenges of the case, including the presence of nodular calcium in the left circumflex and left anterior descending arteries. The use of scoring balloons and stents was attempted to treat the nodular calcium, but the results were not entirely successful. The transcript highlights the uncertainty in the treatment of nodular calcium and the need for further research and discussion on the best strategies for management.

Asset Subtitle

Khaldoon Alaswad, MD, FSCAI

Keywords

coronary nodular lesion

calcium modification

syncope

mitral regurgitation

coronary artery disease

nodular calcium