Complications of PTCA

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Complications of PTCA

• SAGIC Meeting Alexandria
• 28th June 2005

2
A. B.

• 45 yr old Yamani gentleman with exertional C/P
  and SOB 0f 3 yr duration
• CADRF Age, Gender, Diabetes, ex smoking
• Normal exam
• ECG with poor progression of R waves
• 2-D Echo March 2004 LVEF 20
• Dobutamine stress Echo improvement in wall motion
  in inferolateral areas, and mild improvement in
  anteroseptal area
• SCA May 2004 100 proximal RCA, and 100 osteal
  LAD

3
June 2004

• PTCA to chronic RCA occlusion
• Started with BP 100/50mm Hg.
• With 1st angiographic shot, Drop BP, Inotropes,
  IABP with long complex PTCA / stenting DLC coated
  stent
• 2 Days in Hospital
• Post PTCA LVEF 40

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MAY 2005
5
LCA PRE PTCA
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Wires into diagonals
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Contralateral RCA injection
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