CPCI-0421 - Appropriate Use Criteria-0421

Video Transcription

Video Summary

In this video, the Cath PCI case scenario for April 2021 is discussed. The case involves a 60-year-old female with type 1 diabetes who has been experiencing typical angina for the past 6 months. She has no prior history of CAD. The patient had a positive stress echo one week prior, showing high risk of ischemia. Diagnostic coronary angiography reveals significant blockages in the mid-LAD, distal circumflex, and mid-RCA. The options discussed with the patient include PCI for multivessel disease or coronary artery bypass grafting (CAVG). The patient opts for PCI, with stenting done in the mid-LAD and mid-RCA. The AUC evaluation for this PCI procedure is determined to be appropriate with a score of 7. Complete and accurate documentation of factors like stress test, syntax score, and pre-procedure medications is crucial for determining the AUC score.

Keywords

Cath PCI case scenario

type 1 diabetes

angina

CAD

multivessel disease