the case of the successful pci for mid-rca-cto & the … · 2014. 1. 16. · 402930 m8sc 49y[m]...
TRANSCRIPT
![Page 1: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/1.jpg)
THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE OSTIUM CTO LESION OF LAD
BY ANTEGRADE APPROACH
Kiang Wu Hospital Dr. X.W.DENG
![Page 2: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/2.jpg)
Clinical history
! A 50-year-old male ! Chief complaint: Had recurrent chest
discomfort for 2 months. ! Past medical history: Diabetes,
Hypertension, Hyperlipemia and smoking.
![Page 3: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/3.jpg)
Physical Exam
! BP : 140/90 mmHg ! HR : 94 beats per minute ! Chest auscultation :Regular heart
beat without murmur�Clear breathing sound without rale
![Page 4: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/4.jpg)
Prior to Catheterization
! EKG: Normal
![Page 5: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/5.jpg)
Prior to Catheterization
! Cardiac Enzyme�hepatic and renal funcation : Normal ! Cholesterol�Elevation
! Glucose: Elevation
![Page 6: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/6.jpg)
Prior to Catheterization
! ECHO :With a small area of hypokinesis at Left ventricular anterior wall and ejection fraction of 65%
! Treadmill exercise testing: postive(+)
! CXR: Normal
![Page 7: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/7.jpg)
Prior to Catheterization
! CTA:
![Page 8: THE CASE OF THE SUCCESSFUL PCI FOR MID-RCA-CTO & THE … · 2014. 1. 16. · 402930 M8SC 49Y[M] MC pm QT/QTCB RR/PP T QTD,'QTCBD: SOk01 31 396 ) 936 / 15/ 30/ 42 / < iRS ADS 0.09](https://reader035.vdocument.in/reader035/viewer/2022071607/6145136934130627ed50c139/html5/thumbnails/8.jpg)
CTA-right system�