Case 182: Manual of PCI - LAD occlusion after stenting

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A patient presented with angina and was found to have a mid LAD lesion on coronary CT angiography with a positive FFRct. He was referred for invasive coronary angiography that confirmed presence of a mid LAD lesion. He underwent stenting after IVUS examination. IVUS stenting showed more than 50% plaque burden proximal to the proximal stent edge. The patient had acute vessel closure shortly after removing the guide catheter. Repeat angiography showed acute stent thrombosis. Despite successful wiring and multiple balloon inflations there remained poor flow in the LAD and the patient was referred for emergency CABG.
Category
Cardiology
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