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    Coronary Arterial Diagram

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    shamaamo19
    The document describes a coronary angiogram procedure for a 55-year-old male patient with chest pain and risk factors including diabetes, smoking, and previous stents. The procedure showed lesions in the LAD, RIM, and LCX arteries which were treated with balloon angioplasty and drug-eluting stent placement, achieving a good final result.

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    Coronary Arterial Diagram

    Uploaded by

    shamaamo19
    20 views3 pages
    The document describes a coronary angiogram procedure for a 55-year-old male patient with chest pain and risk factors including diabetes, smoking, and previous stents. The procedure showed lesions in the LAD, RIM, and LCX arteries which were treated with balloon angioplasty and drug-eluting stent placement, achieving a good final result.

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    PCI

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    The document describes a coronary angiogram procedure for a 55-year-old male patient with chest pain and risk factors including diabetes, smoking, and previous stents. The procedure showed lesions in the LAD, RIM, and LCX arteries which were treated with balloon angioplasty and drug-eluting stent placement, achieving a good final result.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    20 views3 pages

    Coronary Arterial Diagram

    Uploaded by

    shamaamo19
    The document describes a coronary angiogram procedure for a 55-year-old male patient with chest pain and risk factors including diabetes, smoking, and previous stents. The procedure showed lesions in the LAD, RIM, and LCX arteries which were treated with balloon angioplasty and drug-eluting stent placement, achieving a good final result.

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    Coronary Arterial Diagram

    ‫البروفيسور ( م ) يونس دار عموري‬ ‫رئيس القسم‬ ‫قسم القلب و القسطرة‬ ‫القسم‬
    55y
    Cath # 24-83 Sex M Age
    Pt. Name ‫صالح عبد الرؤوف نعمان‬ o
    Hosp # 1719792 Date 14.01.2024
    Lidocaine 2% 10cc Sub-q Contrast Type: Iomerone 350
    Isosorbid Dinitrate 1500mcg Intra-Arterial
    Medication Acetylsalicylic acid 300mg PO
    Contrast Amount: 200cc
    Heparin 12000unit Intra-Arterial
    Clopidogrel 600mg PO

    Radiation Dose Clinical Data


    DM, Smoker, IHD, S/P PCI to LAD and
    301Gy.cm2 – 34.8minuets
    Vascular Access Coronary RCA, chest pain, EKG changes, ACS
    Hemodynamic

    RT Radial Artery Arterial Aorta: 117/69

    ---- :EDP --- :LV


    LT Radial

    RT Femoral Artery
    Diagram Catheters
    JL3.5 5F, JR4 5F, EBU3.5 6F
    LT Femoral

    Left Coronary
    LM Mild plaque disease in the proximal segment.
    Mild stenosis in the proximal segment, Sever instent restenosis (ISR) in the
    LAD mid segment, D1: Moderate ostial stenosis.
    RIM Sever stenosis in the proximal and mid segment.
    LCX Subtotal occlusion in the distal segment.

    Right Coronary
    Dominant, Patent overlapped stents from proximal to mid segment, mild stenosis distally.

    MRF-00/19 R0
    Recommendations
    PCIs to LAD, RIM and LCX.
    DAPT (Clopidogrel and Acetylsalicylic acid) for at least 6 months.
    Optimizing medical therapy.
    TR band management in the Rt. radial access as per protocol.
    Risk factors modification.
    Cardiology follow up.

    Intervention
    PCIs to LAD, RIM and LCX: Crossing lesions by using 0.014x180cm Floppy guide wire and
    0.014x180cm Sion blue guide wire, using 5*balloons (1.50x15mm Emerge, 2.00x15mm NC Quantum,
    2.25x12mm NC Quantum, 3.50x15mm NC Quantium, 3.50x25mm MagicTouch drug coated balloon)
    and using 4*DES (2.50x12mm Ultimaster Tansei DES, 2.25x35mm Synsiro DES, 2.25x26mm
    Resolute Onyx DES, 2.25x33mm Xience Pro S DES).
    Good final Result.

    MRF-00/19 R0
    CORONARY ARTERY DISEASE
    LCS - Before LCS - After

    RCA

    MRF-00/19 R0

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