The Future of IV Platelet Inhibition in the Catheterization Laboratory-Case Presentation of Complex PCI (CTO vs. MVD vs. LMCA), Dr. Maya Serhal

Case Presentation of Complex PCI (CTO vs. MVD vs. LMCA), Dr. Maya Serhal

Video Transcription

Video Summary

An 81-year-old patient with hypertension, hyperlipidemia, diabetes, atrial fibrillation, and Parkinson's disease presented with increased angina and a drop in EF from 60% to 35%. Despite medical therapy, catheterization revealed possible LAD disease, with a positive DFR of 0.75. The heavily calcified circumflex raised concern, and surgery was deemed unsuitable due to the patient's age and multiple comorbidities. The situation required careful planning for future management. The discussion opened up for strategies to manage this complex case.

Keywords

cardiology

LAD disease

atrial fibrillation

Parkinson's disease

angina management