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
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