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    

 

Normal CA For medical treatment M.F.Ibrahem

CORONARY ANGIOGRAPHY REPORT    

NAME: M.F.Ibrahem    

   

AGE: 55 Years SEX: F    

   

DATE: 15 / 08 /2017    

OPERATORS: Dr. Khaled Eltamawy    

Dr. Aly Gaber    

   

PATIENT BACKGROUND: TCP    

   

PROCEDURE:    

PREMEDICATION: Avil and Fortacortin before the procedure    

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 63    

CORONARY ANGIOGRAPHY:    

LM Average length Normal artery, bifurcate into LAD and LCx    

   

LAD Normal artery    

   

DIAG. Normal    

   

LCx Non-dominant normal    

   

OM Normal    

   

RCA Dominant  normal    

   

CONCLUSION: Normal CA    

   

RECOMMENDATION: For medical treatment    

   

SIGNATURE    

   

Dr. Khaled Eltamawy - MD    

 

CAD for PCI to D1 (2DES S.T.Mohamed

CORONARY ANGIOGRAPHY REPORT    

NAME: S.T.Mohamedد    

   

AGE: 33 Years SEX: M    

   

DATE: 08 / 08 /2017    

OPERATOR: Dr. Doaa Ahmed Fouad     

Khaeled  E l Tamawy    

   

PATIENT BACKGROUND: Smoker with acute MI 1mo ago  .    

   

PROCEDURE:    

PREMEDICATION: Avil, and Fortacotin    

APPROACH: Right radial 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 Normal vessel  and  bifurcates into LAD and LCX.    

   

LAD Osteal  non significant lesion  .    

   

DIAG. D1 showed osteal long lesion about 80% to 90%    

   

LCx Normal and non dominant    

   

OM Normal    

   

RCA Normal and big  dominant vessel     

   

Conclusion and recommendation CAD for PCI to D1 (2DES )    

   

DR Khaled El Tamawy   

   

SIGNATURE                                                         

PROFESSOUR    DOAA  FOUAD                                                    

  CONSULTANT INTERVENTION CARDIOLOGY                                                     

 

Normal CA with Slow flow K.H.Hassanen

CORONARY ANGIOGRAPHY REPORT    

NAME: K.H.Hassanen    

   

AGE: 41 Years SEX: M    

   

DATE: 19 / 07 /2016    

OPERATORS: Dr. Ahmad Abd-Elgleel    

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 110 65 80    

CORONARY ANGIOGRAPHY:    

LM Normal artery Trifurcate into LAD, and LCx    

   

LAD Normal artery show slow flow    

   

DIAG. Normal with slow flow    

   

LCx Normal Dominant artery    

   

OM Normal well developed artery    

   

RCA Non-dominant normal artery    

   

CONCLUSION: Normal CA with Slow flow    

   

RECOMMENDATION: For Medical treatment    

   

SIGNATURE    

   

Dr. Ahmad Abd-Elgleel                                            Dr. Khalid Mohamed Ali El-Tamawy    

 

Lecturer of cardiovascular medicine – Asyut University

PCI TO LAD WITH 2 DES Y.M.AbdelGhaney

CORONARY ANGIOGRAPHY REPORT    

NAME: Y.M.AbdelGhaney    

   

AGE: 62 Years SEX: F    

   

DATE: 04 / 07 /2017    

OPERATORS: Dr. KHALED EL_TAMAWY    

Dr. ALI GABER    

   

PATIENT BACKGROUND: TCP AlS MI  HTN.    

   

PROCEDURE:    

PREMEDICATION: Avil and Fortacortin before the procedure    

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 130 80 98    

CORONARY ANGIOGRAPHY:    

LM LONG ATHEROSCLEROTIC WITH NO LESION BIFORCATE INTO LAD and LCX.    

   

LAD Atherosclerotic with distal totally occlouded.    

   

DIAG. Atherosclerotic with no significant lesion.    

   

LCx Non-Dominant atherosclerotic without significant lesion    

   

   

   

RCA Dominant atherosclerotic with no lesion .    

   

CONCLUSION: Atherosclerotic CADfor PCI TO LAD WITH 2 DES.    

   

RECOMMENDATION: PCI TO LAD WITH 2 DES.    

   

SIGNATURE    

Dr. ALI GABER    

  CARDIOLOGIST. Dr. Khalid Mohamed Ali El-Tamawy    

 

SUCCESSFUL PCI to LAD N.A .Saied

PCI REPORT    

NAME: N.A .Saied     

   

AGE: 55 Years SEX: M    

   

DATE: 20 8 2017    

OPERATORS: Dr. Ahmed Khashaba    

Dr. ALI GABER AHMED    

   

PATIENT BACKGROUND: Recurrent Chest Pain          TARGET VESSEL: osteal LAD(CTO)    

   

PROCEDURE:    

PREMEDICATION: Loading 600 mg Clopidogril, sedative, Antibiotics, Anti-allergic beside anti-Ischemic Drugs    

APPROACH: Right femoral Approach,6F    

CATHETER: AL2  3.5,  6F Giuding Catheter    

CONTRAST MEDIA: Optray 200 ml    

HAEMOSTASIS:    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 120 70 85    

   

PCI to LAD

XP Guiding Catheter 3.5 / 6F used to engage the LM.

PT2 M.S WIRE WASE PASSED TO DISTAL (LAD )

MAvrek ballooned (1.5 x20 ) inflated up to 16 ATM 

Then promus element stent at site of lesion  wase inflated up to 16 ATM 

FINAL RESULT TIMI 11 FLOW 

FOR AGGRASTAT INFUSION AND ANOTHER ANGIOGRAPHY AFTER 2 DAYES FOR ASSESMENT.

S

                          

                   

                                                     

   

CONCLUSION: SUCCESSFUL  PCI to LAD    

   

RECOMMENDATION: PLAVIX 2 TAB. FOR 15 NDAYES THEN ONCE FOR ONE YEAR.    

   

   

   

Dr. Ahmed Khashaba, MD

Professor of cardiology – Ain Shams                       Dr. ALI GABER

                      Cardiology specialist    

 

PCI to LAD Left Coronary failed to be Cannulated M.M. Goda

PCI REPORT  
NAME: M.M. Goda  
 
AGE: 48 Years SEX: M  
 
DATE: 23 / 08 /2017  
OPERATORS: Dr. Ahmad Mahran  
Dr. Khaled Eltamawy  
 
PATIENT BACKGROUND: IHD
Scheduled PCI– LAD with DES  
 
PROCEDURE:  
PREMEDICATION: Loading 600 mg Clopidogril  
APPROACH: Right femoral Approach  
CATHETER: Guiding XB- 3.5  
CONTRAST MEDIA: Optray 100 ml  
HAEMOSTASIS: Manual Compression  
COMPLICATIONS: Nothing  
HAEMODYNAMIC DATA:  
SYSTOLIC DIASTOLIC MEAN  
AORTA 180 90 120  
PCI to LAD  
Left Coronary failed to be Cannulated by XB 3.5 (6 french)
Wire Run-Through MS proceeded in the LAD pass the lesion till the distal LAD
Stenting with Euca-limus Stent (3.25 X 43) covering proximal to mid LAD inflated at 10
Post Stenting TIMI III flow with good stent deployment, no dissection
 
CONCLUSION: Successful PCI to LAD one DES  
 
RECOMMENDATION: Brilique for 12 months with 90 mg bid  
 
Signature  
Dr. Ahmad Mahran د. خالد الطماوى  
Consultant of cardiology Dr. Khaled Eltamawy-MD  

Multivesseles disease For PCI to LAD,LCX with DES F.M. Sadek

CORONARY ANGIOGRAPHY REPORT    

NAME: F.M. Sadek    

   

AGE: 56 Years SEX: F    

   

DATE: 11 / 10 /2016    

OPERATORS: Dr. Mohamed ABD ELGHANY    

Dr. ALI GABER    

   

PATIENT BACKGROUND: TCP    

   

PROCEDURE:    

PREMEDICATION: Avil, and Fortacotin    

APPROACH: Right Femoral Approach    

CATHETER: JL 4 & William    

CONTRAST MEDIA: 50 ml Optray    

HAEMOSTASIS: Manual Compression    

COMPLICATIONS: Nothing    

HAEMODYNAMIC DATA:    

SYSTOLIC DIASTOLIC MEAN    

AORTA 180 85 80    

CORONARY ANGIOGRAPHY:    

LM Atherosclerotic with distal lesion  50% stenosis, Bifurcate into LAD, and LCx    

   

LAD Atherosclerotic with osteal lesion 80% and proximal lesion 80%    

   

DIAG. Atherosclerotic with no significant lesion    

   

LCx Atherosclerotic with osteal lesion subtotal    

   

OM1 Atherosclerotic with no significant lesion    

   

RCA Non-Dominant small with proximal lesion subtotally    

   

CONCLUSION: Atherosclerotic CAD LMT disease    

   

RECOMMENDATION: Multivesseles disease For PCI to LAD,LCX with DES    

   

   

Dr. MOHAMMED ABD ELGHANY , MD                                                                            Dr. ALI GABER    

   

 

PCI to :LAD XB( 3.5 ) used to canulate to LCX N.A ,Khodery

Percutaneous Coronary Intervention Report

Name N.A ,Khodery  Age: 75 Years Date: 16 / 07 / 2017    

   

Operators: Dr. MOHAMED ALY     

Dr. ALI GABER    

   

Clinical Background: Chest pain HTN  DM    

   

   

Target Lesion: LCX OM and LAD.    

   

   

Procedure:    

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

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

PCI to :OM

PCI to :LAD XB( 3.5 ) used to canulate to LCX 

PT2 guide wire passed toOM 

Direct stenting with EUCA( 3.25x18 )mm inflated to 14atm

Final angiography revealed good stent deployment with TIMI3 flow in LCX. 

XB (3.5) cannulate was used to canulate to LAD

PT2 guide wire passed into LAD passed TO distal LAD.

PR dilated by EUCA V1( 2.0X 10) wase inflated yp to 10  to 12 ATM.

CRE 8 STENT (2.75 X31 )  inflated at 14 ATM 

Final angiography revealed good stent deployment with TIMI3 flow in LAD    

Contrast media: 100cc of Optiray 300.    

Hemostasis: Manual compression after 6 hours of the procedure.    

Complications:    Non    

   

Conclusion and Recommendations:    

Successful PCI to LCX  OM and LAD 

Plavix 300mg for 15 days and 150mg for 1 year 

   

SIGNATURE                                             DR ALI GABER

MOHAMED ALY MD.

   

   

   

   

   

 

Percutaneous Coronary Intervention Report Successful PCI to LCX and LAD H.A Mohamed

Percutaneous Coronary Intervention Report

 

Name H.A Mohamed Age: 58 Years Date: 30 / 01 / 2017    

   

Operators: Dr. Ayman Khairy    

Dr. Mohamed Gamal    

   

Clinical Background: Chest pain    

   

   

Target Lesion: LCX and LAD    

   

   

Procedure:    

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

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

PCI to :LCX

PCI to :LAD EBU4 used to canulate to LCX 

PT2 guide wire passed to LCX 

Direct stenting with EUCA 3.5x28mm inflated to 14atm

Final angiography revealed good stent deployment with TIMI3 flow in LCX. 

EBU4 tried to cannulate but was so difficult so another EBU3.5 was used to canulate to LAD

PT2 guide wire tried to passed into LAD but can’t passed

Micro cath tried to passed to LAD but can’t be passed 

BMW guide wire successfully passed to LAD 

Prediltaition of LAD lesion with EUCA4 balloon 2.25x25mm inflated at 14atm 

Stenting of LAD with EUCA3.25X48mm inflated at 14atm 

Final angiography revealed good stent deployment with TIMI3 flow in LAD    

Contrast media: 300cc of Optiray 300.    

Hemostasis: Manual compression after 6 hours of the procedure.    

Complications:    Non    

   

Conclusion and Recommendations:    

Successful PCI to LCX and LAD 

Plavix 300mg for 15 days and 150mg for 1 year 

   

   

   

Signature    

   

Dr. Mohamed Gamal Abdel-Aziz                          Dr. Ayman Kairey , MD    

Cardiology Specialist – Assiut General Hospital                      Prof of cardiovascular medicine  

        Assiut University