Baskaran Chandrasekar Author
Subjects of specialization
Affiliation
Intermediate stenosis, Multi vessel disease, Revascularization
Kuwait Heart Centre - Chest Diseases Hospital, Kuwait
Percutaneous coronary intervention, guided by angiography, is a well established method of treatment of patients with severe coronary artery disease. However, in patients with intermediate severity lesions, the functional significance of the lesions must be ascertained to avoid unnecessary treatment of non-significant lesions while ensuring treatment of significant lesions. The functional significance of these lesions cannot be assessed by angiography, but can be readily determined by measuring the fractional flow reserve in the artery of interest. Compelling current evidence argues for the use of fractional flow reserve-guided revascularization in these patients.
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Author(s): Baskaran Chandrasekar, Mohammad Al Mutairi, Ibrahim Al Rashdan, and Khaled Al Merri
Acute Severe Ischemia Following Protected Distal Left Main Stenting for Recurrent Drug-Eluting Instent Restenosis: A Potential New Mechanism for Side-Branch Ischemia
Left main coronary artery instent restenosis can be treated by repeat percutaneous intervention with drug-eluting stent. We report a 53- year old patient with protected left main disease who presented with recurrent drug-eluting instent restenosis of distal left main/left circumflex ostium. The patient required treatment with a third layer of drug-eluting stent, using the single-stent approach. Acutely following the proce... view moreĀ»