1. Coronary and Peripheral Case Work

2. Case 1: Acute MI( STEMI) Pt: 45 yr old Caucasian Male Several Hrs of Severe Chest pain Pt: Husband of RN Current Smoker Uncontrolled Hyperlipidemia LDL 141 HDL 30 TG 231

3. 100% Stenosis of RCA Total RCA

4. Angioplasty of the RCA Balloon

5. Stent Deployment RCA Stent Temporary Pacemaker

6. Result within 60 min of arrival

7. Echo Confirms LV function +50% Pre Procedural STEMI Flow Restored STEMI Resovled

8. Patient Discharged next Day LV Function preserved EF 50%+ RX Statin, ARB, Plavix, Aspirin. Smoking Cessation counseling RX lifestyle Change

9. Case 2: Bilateral Iliac Stenosis PT: 75 yr old Female Chief Complaint : Severe Resting Claudication Right Leg Ulcer Abnormal ABI Smoker 2+ packs/day 25yrs Hyperlipidemia Hypertension Metabolic Syndrome Lipid Profile

10. Pre Procedure finding 75% Stenosis 95% Stenosis

11. Intervention Stent

12. Intervention Stent

13. Result

14. Post Case Brisk Flow through both Iliac Arteries Pt Discharged the next day Claudication has subsided upon follow up. Ulcer has healed ABI Normal Referring MD sent case report same Day

15. Case 3: Renal Artery Stenosis Pt 70 Yr old Mexican Female Known CAD, PAD. History of refractory ISH SYS BP 180+ Hyperlipidemia Creatinine 1.5

16. Renal Artery Stenosis 95% Stenosis L Renal Artery

17. Procedure

18. Wire in Renal Artery Stent Delivery System

19. Results 0% stenosis

20. Results

21. Post Procedure Pt: Refractory hypertension resolved SYS BP 120 Pt discharged the next day. Referring MD called, and sent report

22. “It is my goal to provide the highest level of service to you and your patients.” “I practice Evidence based medicine and will provide patients with all the options available to them.” “I inform all patients of the risks and benefits associated with any procedure.” “I provide a report for referring MDs in a timely fashion, and if possible I will call.” “We appreciate you and your Patients! Thank you for referring!” Arash Vahdat M.D.