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الجمعة، 23 مارس 2018

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  

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