Under-Expansion in the Circumflex (CX)

Return to HDi Case & Image Library Patient History 73 year old female Hypertension Hyperlipidemia Osteoporosis Right femur fracture from fall 4 days ago Troponin positive  Baseline Angiography Baseline angiography  Baseline angiography of CX Baseline HD IVUS Baseline HD IVUS of CX Baseline HD IVUS of CX Baseline HD IVUS measurements – MLA: 1.910 mm2 […]

In-stent restenosis (ISR) of Right Coronary Artery (RCA)

Return to HDi Case & Image Library Patient History ISR in the RCA FFR: 0.78 Inferior ischemia on Cardiolite®1 Baseline Angiography Baseline angiography of RCA Baseline angiography of RCA Baseline HD IVUS Baseline HD IVUS of proximal and mid-RCA lesions Baseline HD IVUS of RCA Baseline HD IVUS measurements of proximal RCA lesion – MLA: […]

Distal Left Main (LM)

Return to HDi Case & Image Library Patient History Not available Baseline Angiography Baseline angiography of LM. Baseline angiography of LM Baseline HD IVUS Baseline HD IVUS of LM performed at 2.5 mm/sec pullback speed. HD IVUS reveals a mildly calcified LM between Circumflex (CX) and Ramus. This was followed by two balloon dilations. Baseline […]

Baseline HD IVUS for Calcified Left Anterior Descending (LAD) lesion

Return to HDi Case & Image Library Patient History 74 year old male Admitted with chest pain Diagnostic case Troponin mildly elevated Echo shows ejection fraction (EF) of 20% Referred for angiography Baseline Angiography Baseline angiography of LAD reveals a hazy area in proximal LAD Baseline angiography of LAD – View 1 Baseline angiography of […]

Muscular Bridge in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History 70 year old Critical aortic stenosis Screening angiography reveals something strange in LAD Baseline Angiography Baseline angiography of LAD Baseline angiography of LAD – View 1 Baseline angiography of LAD – View 2 Baseline angiography of LAD – View 3 Baseline HD IVUS Baseline HD IVUS […]

Stent fracture in Right Coronary Artery (RCA)

Return to HDi Case & Image Library Patient History 75 year old female Recurrent angina at low level exercise Attempted stent placement 4 months earlier but stent would not pass Settled for plain old balloon angioplasty (POBA) 4 months later, severe restenosis after POBA Baseline Angiography Baseline angiography post–POBA from 4 months earlier Baseline POBA […]

Serial Lesion in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History 75 year old male Angina at low level exercise FFR: 0.80 Baseline Angiography Baseline LAD Angiography Baseline angiography of LAD Baseline HD IVUS Baseline HD IVUS of mid-LAD lesion looks severe. HD IVUS of proximal LAD reveals not very impressive narrowing. Baseline HD IVUS of mid-LAD […]

Circumflex (CX) and Left Main (LM) Lesion

Return to HDi Case & Image Library Patient History 81 year old female 3 years post TAVR Angina NSTEMI Baseline Angiography Baseline Ostial / Mid-LM with questionable lesion. Also note mid-CX disease. Baseline angiography of Ostial / Mid-LM – View 1 Baseline angiography of Ostial / Mid-LM – View 2 Baseline angiography of Ostial / […]

Ostial Left Main (LM) Lesion

Return to HDi Case & Image Library Patient History 87 year old female Angina Shortness of breath Recent NSTEMI Baseline Angiography Baseline angiography found chronic total occlusion (CTO) of right coronary artery (RCA) and borderline ostial LM lesion. Visualized best in cranial projections. Caudal projections do not reveal LM disease. Baseline cranial projection of borderline […]

Edge Dissection in Left Anterior Descending (LAD)

Return to HDi Case & Image Library Patient History A 58 year old male Shortness of breath with exertion Abnormal stress test Baseline Angiography Baseline angiography of LAD Baseline angiography of LAD – View 1 Baseline angiography of LAD – View 2 Baseline Pre-PCI FFR measurements using ACIST RXi Post-PCI Angiography (1) Angiography after 2 stents […]

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