Sun Pharmaceutical Industries Ltd Disclosures Samin K Sharma MD MSCAI FACC Speakers Bureau BSC Abbott CSI Annapoorna S Kini MD MRCP FACC Nothing to disclose Sridhar ID: 913531
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Slide1
Complex Coronary Case
Supported by:
Sun Pharmaceutical Industries Ltd.
Slide2Disclosures
Samin K. Sharma, MD, MSCAI, FACC
Speaker’s Bureau – BSC, Abbott, CSI
Annapoorna S. Kini, MD, MRCP, FACC
Nothing to discloseSridhar Kasturi, MD, DM, FACC, FSCAI, FESC (Guest Faculty)
Shailender
Singh,
MD,
DM
(Moderator)
Slide3Dr. Sridhar Kasturi is HOD and Sr. Consultant Interventional Cardiologist at Sunshine Heart Institute, Hyderabad. He has more than two decades of experience and has performed more than 25,000 angiograms and 3000 interventional procedures. He is the first cardiologist in Andhra Pradesh to perform Bifurcation stent grafting of Abdominal Aortic Aneurysm through
percutanous approach and device Atherectomy for peripheral vascular disease. He participated and presented many papers in national and international conferences. He is regularly involved in many National, state conferences and local CMEs as a chairperson and Speaker. Dr. Sridhar was awarded Best Cardiologist (2003) for his outstanding cont ribution in the field of cardiology by the Council of Industrial & Trade Development through Honorable Governor Surjith Singh Barnala of Andhra Pradesh. He has received fellowships from European Society of Cardiology, American College of Cardiology, Society of Cardiovascular Angiography and Interventions and Indian College of Cardiology. Sridhar Kasturi, MD, DM, FACC, FESC, FSCAI, FICCHOD & Sr. Consultant Interventional CardiologistSunshine Heart Institute, Hyderabad
Slide4Dr. Shailender Singh is Chief Interventional Cardiologist at Sunshine Hospitals, Hyderabad. He completed his MD from
Osmania General Hospital in general medicine and was a gold medalist and distinction holder. He was awarded the prestigious Tata Fellowship in DM(Cardiology). He is a member of American College of Cardiology, Cardiology Society of India, Association of Physicians of India and Indian Association of Clinical Cardiologists. He also conducted specialized courses in various countries. He has published articles in several international and national journals. He was also bestowed with honor of delivering lectures in the prestigious Pittsburgh University Hospital on mitral valvuloplasty.Shailender Singh, MD, DM(Cardiology)Department of CardiologyChief Interventional CardiologistSunshine Hospitals, Hyderabad
Slide5Live Case # 6
Clinical Variables
High Ca score 2684 and
cCTA
revealed 2 V (RCA
and LAD) CAD. Pt was started on Metoprolol and referred for cath.Present Clinical PresentationPresented with new onset CCS class II angina Patient Demographics 65 yrs, M with anginaCAD Risk Factors Controlled DM Hyperlipidemia
Medications
Aspirin
,
Rosuvastatin
, Metoprolol, Metformin
Plan:
Now p
lanned
for
complex PCI of calcified angulated LAD/Diagonal bifurcation lesions
using RA (?) and IVUS guidance.
Cath:
Cath on March 19
th
2021 revealed severely
calcified
2
V CAD:
9
0% mid RCA, multiple calcified severely angulated
prox
-mid LAD/Diagonal bifurcation lesions,
LVEF 5
0
%, Syntax
score
26
& STS 1.1. Pt underwent successful PCI of RCA.
Slide6AUC 2017: One-Vessel Disease
Patel et al., J Am
Coll
Cardiol
2017;69:2212
Slide7Cath Lab
Apps
ComplicAID
BifurcAID
TranseptAID
CalcificAIDGuidewireAIDBifurcAID 3D
OCTAID
TAVRcathAID
Slide8www.CardiologyApps.com/BifurcAID-3D
Slide9Key Features:
Left Main and Non-Left Main bifurcation lesionsSecondary view highlighting key points such as stent crush →Android, iOS and WebAppMany techniques:
DK Crush
Mini Crush
Culotte
Provisional StentingBailout Techniqueswww.CardiologyApps.com/BifurcAID-3D
Slide10More than 35,660 unique downloads
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