Optical Coherence Tomography–Guided Complex Angioplasty of a Calcified Left Main Bifurcation Using Orbital Atherectomy

Researchers & Contributors

Chief Interventional Cardiologist

Department of Cardiology

Caritas Hospital

Kottayam, Kerala, India

Angiogram of bifurcation

OCT pullback: 360° arc of thick circumferential calcium in the LM bifurcation

Nodule at LCX mouth

Orbital to LCX

Eccentric calcium thickness reduced from 1160 μm to 630 μm

Post-ballooning fracture at volume reduced site

Final angiogram

Final bifurcation