Pre-Cath Diagosis:Unstable Angina
Post-Cash Diagnosis:S/p PCI and stenting to RCA With two BMS
Intervention:Yes Stent:YES,BMS Procedure Time:(Start 14:10Close15:15Mins65)
Hemodynamic : AO 134/75 mHg
Coronary Angiography: -Dominant(R't)
-LM Distal KN|MCA had atheroma
-LAD -Proximal to mid-LAD had had diffuse atherosclerosis,mid-LAD had 80% stenosis.
branch also had 50% stenosis near its ostium. Proximal to mid-RIC junction was diffusely
narrowed . Acute margin had 90+% stnosis with TIMI-2flow
PCI to RCA wsa performed, using a 6F JR4 GC and the lesion was crossed by a Cougar XT wire.
The lesion at mid-RCA wasdilated with a 3.0/20mm balloon at 8-10Bar.
Dissection and recoil were noted. Sllow flow was also noted and treated by ic Adenosine through amicrocatheter.A3.0/24mm Driver stent was deployed at mid_RCA, anther3.0/18mm Dirver stent was deployed to cover the lesion completely. Both stents were further dilated with a 3.0/15mm NCSprinter at 12-20Bar. Residual stenosis was 10% with TIMI-3 flow.
Dual anti-platelet therapy for at least 3 months is recommended.
Staged elective PCI to LAD is also recommended. DES will be prefrred.
- 9 年前最佳解答
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