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LIVE CASES BEC 2012: One Year Follow Up
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Patient № 1 62 y. o. male Arterial hypertension Dyslipidemia Smoking
Medical History 62 y. o. male Arterial hypertension Dyslipidemia Smoking Claudicatio intermitens- 50 m ABI- 0,5 right, 0,61 left CT- angiography: a. femoralis superficialis dextra- ostial occlusion (thrombosis)- 95 mm ; a. femoralis superficialis sinistra- 95% stenosis
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PTA- AFS dextra
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PTA- AFS dextra: balloon 8mm/120mm
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One Year Follow Up Clinical PTA - a. femoralis superficialis sinistra 1 month later Without claudicatio intermitens ABI- 0,85 right; 0,90 left
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Patient № 2 59 y. o. male Arterial hypertension Dyslipidemia
Medical history 59 y. o. male Arterial hypertension Dyslipidemia TEA a. iliaca externa dextra and femoro-popliteal bypass- right( ) PTA- stent implantation- a. iliaca communis sinistra and a. iliaca externa sinistra( )
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PTA-AFS sinistra: antergrade puncture
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PTA-AFS sinistra: balloon 8mm/80mm
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One Year Follow Up Without claudicatio intermitens
Clinical Without claudicatio intermitens ABI- 0,85 right leg; >1 left leg
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Patient № 3 53 y. o. female Vena cava superior syndrom
Medical history 53 y. o. female Vena cava superior syndrom Thrombosis of v. cava superior- thrombolysis + balloon dilatation( )
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PTA- vena cava superior
Wallstent 24/45 mm
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PTA- vena cava superior
Wallstent 16/40mm
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One Year Follow Up Clinical Without any complains
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Patient № 4 36 y. o. male 3 times haematemesis HGB-68 G/L
Medical history 36 y. o. male 3 times haematemesis HGB-68 G/L Fibrogastroscopia- Gastritis exudative Intensive Care Unit Whole blood haemotransfusion => HGB -89G/L Abdominal echography-oval formation in pancreatic head CT-angiography: pancreaticoduodenalis artery’s pseudoaneurism
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Anatomy
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Conventional Angiography
Covered stent 4,0/15mm
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Conventional Angiography PTA- a. pancreaticoduodenalis
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Next Week CT-angiography
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Second PTA- a. pancreaticoduodenalis
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Balloon dilatation 4,5/15 mm
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Second Covered Stent 4,5/23 mm
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CT- angiography 45 Days after
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1 Year Follow Up Without new haematemesis episodes HGB-119 G/L
Clinical Without new haematemesis episodes HGB-119 G/L Normal physical condition
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