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الخميس، 22 فبراير 2018

Total LAD occlusion , distal LCX 1176 2018


Name :  H .F . Sh 1176 
age : 60
operator : dr khaled eltamawy
patient background : TCP
procedure :
                  premdication :
                  approach :                       Rtight femral approach
                  catheter :                         JL 4 & JR 4
                  contrast media  :              50 ml Optray
                 haemostasis :                   manual compression
                 complications :                nothing
haemodaynamic data :
                                                           systolic             diastolic              mean
                        Aorta                             130                    80                     116
                                          
           
    Get the full examination           

                 https://youtu.be/nN91m89SwJU


Coronary angiography :  
                                    
       
           LM             Atherosclerotic, biurcate into LaD and LCX  .

           LAD          Atherosclerotic with proximal 50 % para – osteal lesion ,         
                             followed by ectatic segment then ,total occlusion with
                             faint anterograde and  retrograde filling from left system .

          DIAG        Atherosclerotic vessels .

          LCX          Atherosclerotic co-dominant with distal 70% lesion .  

          OM           Atherosclerotic  without significant lesion .  

         RCA          co-dominant Atherosclerotic without lesion .

Conclusion:         Atherosclerotic CAD total LAD occlusion , distal LCX .

Recommendation:    FoR PCI TO LAD AND LCX WITH  DES




                                                                                 SIGNATURE

                                                                DR . KHALED ELTAMAWY MD            
                           
                                                  Consulant of cardiology & intervention cardiologyt

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