Imaging & Physiology - Invasive Imaging (IVUS, OCT, NIRS, VH, etc)
The Pressure in Imaging: To See or Not to See
Kristy Garganera1, Bryan Rene Toledano1, Michelangelo L. Sabas1
The Medical City, Philippines1,
Troponin 0.11ECG: Sinus rhythm, anteroseptal wall ischemia
This patient had a bad history of ISR with recent drug coated balloon angioplasty of the ostial LCx but presents with anterior wall hypokinesia on echocardiography. We anticipated to fix the LCx but physiology said otherwise hence saving him from a complex left main intervention. Intravascular Optical Coherence Tomography is a useful tool to assess long and ambiguous lesions and optimize stent implantation especially in the setting of in-stent restenosis. However, as interventional cardiologist, we have the itch to fix what looks tight. In the advent of coronary physiology, we avoid this temptation and give proper adjudication to coronary lesions.