male age 91 1993 cabg . age 74. lima to lad and vg to d1 rca and lcx normal
DESCRIPTION
Male Age 91 1993 CABG . Age 74. LIMA to LAD and VG to D1 RCA and LCx normal 1996 Angina recurrence. Cor angio 30% LMS stenosis 70% LAD stenosis and distal LIMA stenosis at anastomosis RCA and LCx remain normal. Medical treatment. Diltiazem - PowerPoint PPT PresentationTRANSCRIPT
Male Age 91 1993 CABG. Age 74. LIMA to LAD and VG to D1
RCA and LCx normal1996 Angina recurrence.
Cor angio 30% LMS stenosis 70% LAD stenosis and distal LIMA stenosis at
anastomosis RCA and LCx remain normal.
Medical treatment. Diltiazem
2003 Bifemoral PTA for claudication. Clopidogrel and aspirin. Extensive Bruising. Stopped aspirin
4.2.07 ACS. Acute Inferior MI Elderly 88. 35kg. Kyphotic. Arteriosclerotic.
Palpable femoral pulses L>R
5.2.07 Cor angio and RCA stenting LIMA and D1 graft patent.
Stenoses at toe of LIMA and in LAD Sub-total occlusion of proximal RCA
Proceed to reopen RCA: JR4 guide. Choice Extrasupport PT wire
Maverick 2.0 x 15 to 14 atm. Co-Star DES over distal lesion Ostium dilated with 3.0 x 15 balloon
4.0 x 20 Liberte BMS to overlap 1st stent distally and to cover ostium proximally.
Minor distal disease in RCA and LCA not touched
