CAD for PCI to LAD and LCX and RCA with DES Aty.Ali.GadAlrb

Coronary Angiography Report

 

Name Aty.Ali.GadAlrb  Age: 65 Years Date: 30 / 03 / 2017    

   

Operators: Dr. AYMAN KHAIRY     

Dr.      ALI GABER    

   

Clinical Background:. Recurrent chest pain.    

   

   

Procedure:    

Right femoral approach using JL (6F – 4.0) and JR (6F – 4.0) catheters to obtain left and right angiogram. Homeostasis by manual compression. No complications.    

   

Coronary Angiography results:    

   

LM:    ATHEROSCLEROTIC short  bifurcate into LAD and LCX.    

   

LAD:          Atherosclerotic with proximal and midsegment lesion up to 70 %.    

   

Diag.: Small atherosclerotic vessels .    

   

LCx: Atherosclerotic vessel with proximal subtotal occluded with distal atherosclerotic vessels.    

   

1.   RCA: Atherosclerotic dominant with proximal and distal  lesion  80 %.    

   

Conclusion and Recommendations:    

CAD for PCI to LAD and LCX and RCA  with DES    

   

   

  Signature    

   

Dr.  ALI GABER Dr. AYMAN KHAIRY       

1.         Cardiology spcialist Lecturer of cardiovascular medicine – Assiut University  

For Medical treatmen Nad,mah.Essa

CORONARY ANGIOGRAPHY REPORT    

NAME: Nad,mah.Essa

   

   

AGE: 46 Years SEX: F    

   

DATE: 4 / 4 /2017    

OPERATORS: Dr. Ayman Khairy    

Dr. Khalid El-Tamawey    

   

PATIENT BACKGROUND: Atypical Chest pain    

   

PROCEDURE:    

PREMEDICATION: Neuril, Avil, and Fortacotin    

APPROACH: Right Radial Approach    

CATHETER: JL 3.5 & JL  4 with failed cannulation then AL I tried with success& JR 4    

CONTRAST MEDIA: 50 ml Optray    

HAEMOSTASIS: Manual Gauze Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 140 90 106    

CORONARY ANGIOGRAPHY:    

LM Normal artery Bifurcate into LAD,and LCx    

   

LAD Normal artery    

   

DIAG. Normal    

   

LCx Normal co-dominant artery    

   

RCA co-dominant normal artery    

   

   

   

CONCLUSION: Normal coronary angiography    

   

RECOMMENDATION: For Medical treatment    

   

SIGNATURE    

   

Dr. Khalid Mohamed Ali El-Tamawy    

 

FOR MEDICAL TREATMENTc

CORONARY ANGIOGRAPHY REPORT    

NAME: FOR MEDICAL TREATMENT    

   

AGE: 55 Years SEX: M    

   

00DA

TE: 6 / 04 /2017    

OPERATORS: Dr. Ayman Khairy    

Dr. HUSSIEN MAHAMOUD    

   

PATIENT BACKGROUND: ANT MI    

   

PROCEDURE:    

PREMEDICATION:    

APPROACH: Right Femoral Approach    

CATHETER: JL 4 & JR 4    

CONTRAST MEDIA: 100 ml Optray    

HAEMOSTASIS: Manual Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 130 80 116    

CORONARY ANGIOGRAPHY:    

LM Normal  bifurcate into LAD and LCx    

   

LAD Atherosclerotic with mid segmental  lesion of50% stenosis    

   

DIAG. Atherosclerotic with proximal borderline lesion    

   

LCx Non-dominant normal artery    

   

OM Within normal    

   

RCA Dominant normal artery    

   

CONCLUSION: Atherosclerotic CAD    

   

RECOMMENDATION: FOR MEDICAL TREATMENT    

   

SIGNATURE    

   

Dr. Ayman Khairy Dr. HUSSIEN MAHAMOUD    

Consultant of Cardiology Assuit University  

PCI if symptoms can`t controlled Hef.Abd.Hassan

CORONARY ANGIOGRAPHY REPORT    

NAME: Hef.Abd.Hassan    

   

AGE: 68 Years SEX: M    

   

DATE: 18 / 03 /2017    

OPERATORS: Dr. Mohamed Ashraf    

Dr. Khalid Eltamawey    

   

PATIENT BACKGROUND: MI August 2016, Systolic HF    

   

PROCEDURE:    

PREMEDICATION: Avil, and Fortacotin    

APPROACH: Right Femoral Approach    

CATHETER: JL 4 & JR 4    

CONTRAST MEDIA: 50 ml Optray    

HAEMOSTASIS: Manual Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 90 50 60    

CORONARY ANGIOGRAPHY:    

LM Average length, Trifurcate into LAD, Ramus, and LCx    

   

LAD Atherosclerotic without significant lesion    

   

DIAG. Atherosclerotic with no significant lesion    

   

LCx Atherosclerotic diseased non-dominant artery  with total occlusion just after its origin from LM, fill retrograde from left system and appear to be small caliber artery

OM atherosclerotic with no significant lesion    

   

Ramus Atherosclerotic with no significant lesion    

   

RCA Dominant Atherosclerotic with proximal 40% stenosis    

   

CONCLUSION: Atherosclerotic CAD, Total occlusion of LCx    

   

RECOMMENDATION: For medical treatment, OR PCI if symptoms can`t controlled    

Dr. Khaled Eltamawy    

   

SIGNATURE    

Dr. Mohamed Ashraf

Consultant of cardiology Asyut University  

Successful PCI to LAD.2 DES. Fwa.M.Ali

Percutaneous Coronary Intervention Report

Name Fwa.M.Ali Age: 60 Years Date: 13 / 03 / 2017    

   

Operators: Dr. AYMAN KHAIRY    

Dr. ALI GABER    

   

Clinical Background:    

    Patient is not  known to be diabetic. SHe has coronary artery disease for FIVE months with admission to CCU with recurrent chest pain   HTN ..    

   

Target Lesion:    

PROXIMAL AND MID_DISTAL LAD.    

   

Procedure:    

Premedication: Sedatives, anti-allergic, the anti-ischemic and dual antiplatelets drugs.    

Approach: Right femoral approach using short femoral sheath 6F.    

PCI to LAD:

EBU Guiding Catheter (6F – 4) cannulate LM.

PT2 Light support  guide wire was passed the LAD lesion till the distal end of LAD.

DIRECT stenting to mid_distal LAD CRE 8 ( 2.75 x38 )  inflated up to 14 ATM . 

A nother  stentin to proximal lad wase implanted   CRE 8 ( 3.5 X 20 ) AND INFLATED UP TO16 ATM .

Final angiogram shows TIMI flow III without edge dissection or residual stenosis.    

Contrast media: 200 cc of Optiray 300mg/dl.    

Hemostasis: Manual compression after 6 hours of the procedure.    

Complications:    Non    

   

Conclusion and Recommendations:    

Successful PCI to LAD.2 DES.

PLAVIX 2 tab for 15 dayes then once up to one year.    

   

Signature Signature    

   

Dr. ALI GABER

  Dr.  AYMAN KHAIRY , MD

   

Cardiology  SPECIAST Lecturer of cardiovascular medicine, 

Assiut University  

CONTROL OF RISK FACTORS Na.Gh.Gerges

CORONARY ANGIOGRAPHY REPORT    

NAME: Na.Gh.Gerges    

   

AGE: 69 Years SEX: F    

   

DATE: 18 / 10 /2016    

OPERATORS: Dr. TAREK ABD ELHAMEED    

Dr. ALI GABER AHMED    

   

PATIENT BACKGROUND: TCP    

   

PROCEDURE:    

PREMEDICATION: Avil, and Fortacotin    

APPROACH: Right Femoral Approach    

CATHETER: JL 4 &WAILIUM    

CONTRAST MEDIA: 50 ml Optray    

HAEMOSTASIS: Manual Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 130 85 110    

CORONARY ANGIOGRAPHY:    

LM Normal  trifurcate to LAD . and LCX    

   

LAD Atherosclerotic with proximal 30 % lesion.    

   

   

   

LCx Atherosclerotic  with no significant change    

   

OM1 Atherosclerotic with no significant lesion    

   

RCA Dominant Atherosclerotic with no significant lesion.    

   

CONCLUSION: Atherosclerotic CAD    

   

RECOMMENDATION: FOR  CONTROL OF RISK FACTORS    

   

DR .TAREK ABD ELHAMEED M.D    

   

   

 

Normal coronary angiography For medical treatment At.T. GAD.ALLAH

CORONARY ANGIOGRAPHY REPORT    

NAME: At.T. GAD.ALLAH    

   

AGE: 50 Years SEX: M    

   

DATE: 07 / 08 /2017    

OPERATORS: Dr. Khaled El-Tamawy    

Dr. Ali Gaber    

   

PATIENT BACKGROUND: TCP    

   

PROCEDURE:    

PREMEDICATION: Avil, and Fortacotin    

APPROACH: Right Femoral Approach    

CATHETER: JL 4 & JR 4    

CONTRAST MEDIA: 50 ml Optray    

HAEMOSTASIS: Manual Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 110 65 80    

CORONARY ANGIOGRAPHY:    

LM Short normal artery, Bifurcate into LAD, and LCx    

   

LAD Normal sizable artery    

   

DIAG. Normal sizable artery    

   

LCx Non-dominant normal artery    

   

   

   

RCA Dominant normal artery    

   

CONCLUSION: Normal coronary angiography    

   

RECOMMENDATION: For medical treatment    

   

SIGNATURE    

   

Dr. Khaled Eltamawy - MD