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الجمعة، 23 مارس 2018

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  

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