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Severe Triple Vessel Disease in a Patient with LVEF 20%

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Dr Y Vijayachandra Reddy, Chennai    04 January 2018

  1. Myocardial viability assessment is important as options of management, CABG or PCI, depend on LAD territory viability.
  2. Nonviable LAD territory, poor target vessels for CABG, severe comorbidities with high surgical score, shift management to CHIP PCI (complex high-risk indicated patient PCI).
  3. CHIP-PCI demands hemodynamic support at times (IABP, Impella, short-term mechanical circulatory support). The benefits of revascularization are maximum in this group.

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