2009 CIT CASE REVIEW Li Weijie Department of Cardiovascular Medicine, Xijing Hospital.

Slides:

Advertisements

Similar presentations

Management of LCA-LM dissection.

Advertisements

Call for CASES Motaz AbuSamra Krzysztof Milewski CCU, Upper-Silesian Center of Cardiology, Silesian Medical School, Katowice, Poland Head of Department:

LAD/D1 bifurcation lesion. Crush technique. 35yr old male.

Multivessel PCI procedure complicated with fracture of the wire Marcin D ę binski, MD Head: Pawel E. Buszman, MD, FACC University Hospital of Silesia,

29th ANNUAL SCIENTIFIC SESSIONS – SCA&I

Cardiology ECG Review for the ABIM. A 46-year-old woman is evaluated because of palpitations. Her 12-lead electrocardiogram, obtained while she is having.

Ischemic heart disease. Indications and methods of surgical treatment. Surgery department №2.

Call for CASES Staged PCI in a patient with multivessel coronary disease disqualified from CABG. Pawel Buszman, MD, FESC, FSCAI Marcin Debinski, MD Krzysztof.

Call for CASES Leszek D. Stachaczyk, MD Pawel Buszman, MD, FESC, FSCAI American Heart of Poland, Ustroñ, Poland & CCU, Upper-Silesian Center of Cardiology,

One stage coronary and peripheral intervention Pawel Buszman, MD, American Heart of Poland, Ustron Silesian Medical School, Katowice.

Chaim Lotan MD, Yaron Almagor MD, Karel Kuiper MD, M.J. Suttorp MD, William Wijns MD The SICTO Study CYPHER TM Sirolimus-eluting stent in Chronic Total.

Percutaneous closure of a coronary fistula Pawel Buszman, MD Silesian Medical School Katowice, Poland.

NYU Medical Grand Rounds Clinical Vignette Jennifer Lue, MD PGY-2 9/11/2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Subacute Occlusion at distal Edge of Stent Beijing Anzhen Hospital Capital Medical University Wu, Xiaofan.

Tips and Pitfalls in Measurement of FFR during Bifurcation Stenting Nanjing first hospital Nanjing cardiovascular hospital Yefei Chenshaoliang Zhangjunjie.

Thrombus Aspiration and Sequential Stenting in Bilateral Carotid Arteries for a Patient with Takayasu Arteritis Tianjin First Center Hospital Lu Chengzhi.

Unstable angina and arterial hypertension Leszek Kinasz, MD American Heart of Poland Ustron, Poland.

VULNERABLE PLAQUES: Pertinent doubts and solutions in interventional cardiology EuroPCR Paris, 16 May 2006.

Medical Grand Rounds Clinical Vignette October 15 th, 2008 Srikant Duggirala, M.D.

Call for CASES Silesian Medical School, Katowice, Poland Percutenous Controlled Reperfusion For STEMI P iotr P. Buszman.

PCI in Left Main Coronary Bifurcation Disease -Step Mini Crush

After Deep-Seating… -Case Report- Zheng WU, MD Hongbing YAN, MD Beijing Anzhen Hospital Capital Medical University,Beijing,China.

IVUS evaluation TAP technology for unprotected left main bifurcation lesions interventional therapy Yong-Sheng Ke. MD Department of Cardiology, Yijishan.

In-Stent Thrombosis or Acute Heart Failure ?. History Male, 64yrs Persistent chest pain 22hrs,admitted on 1st Mar. 2011,the symptom did not relieve at.

Clinical Follow Up of CIT 2009 Live Case Shenyang Northern Hospital Wang Shouli Han Yalin.

One patient, two years, three choices, four PCI ZHAO Peng Cardiology ， the Affiliated Hospital of Medical College of CPAPF, Tianjin, China.

TRANSRADIAL ROTABLATION OF A CASE OF CTO Dr. Christian Pristipino Coronary Intervention Unit San Filippo Neri Hospital Rome, Italy.

SIROLIMUS-ELUTING STENTS EFFECTIVELY INHIBIT NEOINTIMAL PROLIFERATION AS COMPARED TO BARE METAL STENTS IN DISEASED SAPHENOUS VEIN GRAFTS: 6-month IVUS.

Shanghai Jiaotong University

第20届GWICC转播病例 Revascularization of Ostial LAD CTO with Combined Use of Retrograde and Antegrade Wire Techniques 逆行＋正向导丝技术在LAD CTO血运重建中的应用 Li Weiming, Xu.

The First Affiliated Hospital of Harbin Medical University

Effect of Intravascular Ultrasound- Guided vs. Angiography-Guided Everolimus-Eluting Stent Implantation: the IVUS-XPL Randomized Clinical Trial Myeong-Ki.

PCI from native vessel disease or bypass vessel disease post CABG Nanjing first hospital Yefei Chenshaoliang.

A story of acute myocardial infarction.. By: Dr. Walid Kamel Ass. Lecturer Critical Care Cairo University.

Tryton Pivotal IDE-RCT Results Implications For Everyday Practice Integrating Dedicated Technology Antonio L. Bartorelli, FACC, FESC Centro Cardiologico.

Cardioprotective Effects of Postconditioning in Patients Treated with Primary PCI Evaluated with Magnetic Resonance Jacob T Lønborg Niels Vejlstrup, Erik.

Ms. Leonardo Roever Coronary Stents. Coronary Artery Disease Leading cause of death in United States for men and women Caused by buildup of plaque in.

Adel Gamal, MD and Mohamed Saber, Msc

G. Capretti, M. Carlino, A. Colombo, L. Azzalini

Takashi Ashikaga,MD,PhD

Successful transdradial removal of a dislodged coronary stent

Transradial Intervention: Complex Case Review Yes, They Can Be Done!

Interesting Case Presentation

Complex Coronary intervention

Guideliner related stent stripping

Clinical Presentation

Tubular LMS stenosis. LCx ostial stenosis

The dilemma of coronary artery bypass grafting following right coronary artery stenting – ‘To graft or not to graft?’ Krithika Ramaprabhu, Gopal Murugesan,

The Radial Approach for CTO PCI Utility in the Retrograde and the Antegrade Approaches Shigeru Saito, MD, FACC, FSCAI, FJCC Shonan Kamakura General Hospital.

Tarek Abou Ghazala, MD, FACC, FSCAI

Meruzhan Saghatelyan, MD, Interventional cardiologist

Cardiovascular Disease Coronary Heart Disease

Complex PCI to CTO lesion in RCA with nightmares complications

Late stent thrombosis Ashish shah, Tim Kinnaird, W J Penny

Crescendo angina in Distal Left Main CTO

PCI in patients with cardiogenic shock associated with acute occlusion of the left main coronary artery.

A case of pregnancy-associated acute myocardial infarction with refractory ventricular fibrillation and heart failure Tomoya Hasegawa, MD, Hiroaki Tabata,

Fig. 2. Revascularization for CTO in RCA

Fractional Flow Reserve Workshop

Spontaneous Coronary Artery Dissection

Spontaneous Coronary Artery Dissection: Good Long-term Outcome with IVUS-Guided Diagnosis and Management Italo Porto Interventional Cardiology Unit Università.

Tareq Ibrahim et al. JIMG 2009;2:

SKS Technique Clinical Case

Volume 75, Issue 1, Pages 7-9 (January 2009)

Alexander Liu et al. JACC 2018;71:

Giuseppe Biondi Zoccai, MD

Incidence and management of restenosis after treatment of unprotected left main disease with drug-eluting stents: 70 restenotic cases from a cohort of.

CDM Workshop Presented by Dr.Adrijana Pesevska

Patient Examples of CMR Stress Test in Women Patient #1 is a 70-year-old, post-menopausal woman with typical angina and 3 coronary artery disease (CAD)

Presentation transcript:

2009 CIT CASE REVIEW Li Weijie Department of Cardiovascular Medicine, Xijing Hospital

Case 1 History ( ) Male, 55 years old Complain: Paroxysmal chest distress with palpitation for 3 years Aggravated for 3 months Past history: Hypertension Stents (Cypher) implantation at RCA 2-3 and 4PD ( )

Diagnosis 1. Coronary artery disease Unstable angina pectoris Old inferior myocardial infarction NYHA class I 2. Stage 2 hypertension

ECG Old inferior myocardial infarction

Ultrasound Ejection Fraction 60%

Coronary angiography RCA2 25%; 4AV ostial 90%; RCA2-3, 4PD Free of in-stent restenosis

LAD6 99%; LAD7 100%; LCX12 80%; LCX13 25%; LCX15 50% Coronary angiography

LAD6 99%; LAD7 100%; LCX12 80%; LCX13 25%; LCX15 50% Coronary angiography

Collateral Circulation

Retrograde wire Runthrough Fielder Micro-catheter M3

Forward wire Fielder

Confirm the true luminal

Stents implantation 2.75mm×33mm FIREBIRD 3.0mm×23mm FIREBIRD

Coronary angiography

Follow up ( ) Complain: Mild chest distress UCG EF 55% ECG Old inferior myocardial infarction

Coronary angiography LAD6-8 Free of in-stent restenosis; LAD8 25%; LAD9 90%; LAD10 95%; LCX12 100%; LCX14 95%; LCX15 50%

Coronary angiography RCA1 25%; RCA2 25%; 4AV ostial 90%; RCA2-3, 4PD Free of in-stent restenosis

Balloon dilation 2.5mm×20mm

Stent implantation LCX mm×29mm FIREBIRD2 14ATM 15s

Finall results Intramural hematoma

Case 2 History ( ) Male, 55 years old Complain: Paroxysmal chest distress with short of breath for 2 months Diagnosis: Coronary artery disease Unstable angina pectoris

ECG Sinus rate 76 bpm, normal ECG

Coronary angiography LMT 5 30%; LAD 6 ostial 90%; LAD 9 75% LCX OM3 50%; LCX 15 75%

Coronary angiography RCA 2 30%; RCA 3 50%; 4PD ostial 75%

Guiding 7F EBU 3.5 BMW Rinato Runthrough 2.5mm×29mm Firebird

Stent implantation LCX13-15-OM3 2.5mm×29mm Firebird 16ATM 7s 18ATM 7s

2.5mm×13mm Firebird 2.0mm×20mm balloon

3.5mm×23mm Firebird 2.0mm×20mm balloon

3.5mm×20mm 10ATM 2.5mm×20mm 10ATM

Follow up Suesequent visit: the patient feel well, no complaint,no symptom Unwilling to subsequent CAG