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Complications of PTCA

Complications of PTCA. SAGIC Meeting Alexandria 28th June 2005. 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%

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Complications of PTCA

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  1. 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%

  4. MAY 2005

  5. LCA PRE PTCA

  6. Wires into diagonals

  7. Contralateral RCA injection

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