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 and Khaled Al Merri
Excimer Laser Angioplasty in Calcified Coronary Lesions: Evidence of Calcium Ablation by Optical Coherence Tomography
During percutaneous coronary revascularization, calcified lesions can prove resistant to balloon expansion and cause stent underexpansion. We report on a patient with a calcified resistant lesion in whom adjunctive therapy with excimer laser enabled successful expansion of the stent. We document in this report using optical coherence tomography imaging,... view moreĀ»