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NYS-DOH Report of PCI 2006-8

Presentation: Presented to OSH with rest pain on 12/23/2010 and had NSTEMI (peak TnI 6.2). Cath revealed 3V LM CAD; culprit being 90% thrombotic BMS ISR of mid RCA, others; 60% dLM bifurcation (Medina 1,1,1), 80% calcific prox-mid LAD with 90% D1 bifurcation (Medina 1,1,1) and 80% prox LCx (Synta

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NYS-DOH Report of PCI 2006-8

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    1. NYS-DOH Report of PCI 2006-8

    14. Issues Involving The Case

    15. Severe LV dysfunction (LVEF <20-30%) plus - Complex Multi-vessel Disease &/or - Unprotected LM Bifurcation &/or - Last Single Remaining Vessel (specially SVG) &/or - Simple Lesion but hemodynamic compromise (low BP, high PCW or overt CHF) Complex lesions where transient closure may be catastrophic Large MI with hemodynamic instability Cardiogenic Shock

    21. Issues Involving The Case

    22. Rotational Atherectomy (RA, PRCA, PTRCA)

    24. Issues Involving The Case

    25. Coronary Artery Bifurcation Lesion Interventional Techniques

    29. DKCRUSH Technique for Bifurcation Lesions

    32. Top 10 Advances of Interventional Cardiology 2010

    33. Issues Involving The Case

    36. MACCE to 3 Years by SYNTAX Score Tercile Left Main SYNTAX Score ?33 3-Year_Randomized_SX 33+(Core)-LM(Site)_01JUL10.doc ex. 13-Year_Randomized_SX 33+(Core)-LM(Site)_01JUL10.doc ex. 1

    37. Take Home Message: Techniques For Complex High-risk PCI

    38. Master Techniques For Complex High-risk PCI

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