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

2. Case 1 Male, 68 yrs Chest pain for 3 m, get worse for 5 days 2009-03-08 RF: HT 8 yrs, DM 8 yrs, cerebral infarc 8 yrs ECG: ST v3-6 ↓, T v3-6 ↓ UCG: MI(mild), LA 50 mm, LV 52 mm, EF 84%,FS 0.46

3. Fasting Glu: 5.34 mmol/L,Lipid: normal DIA:UAP,NYHA 2 degree; HT; DM (type 2) Angiography(2009-01-09,other hospital): pro-LAD 90%, pro-LCX 20%,dis-LCX 50%, mid-RCA 70% Refuse CABG ！ 2009-03-19(CIT 2009):Triple vessel disease Case 1

4. 3.0/15mm Safecut F.B. 3.0/33 mm,3.5/18 mm

5. IVUS:MCD ： 1.70mm, MCSA:3.44 mm 68% 3.0/15 mm Safecut,F.B.3.0/18 mm,Excel 4.0/18 mm

6. LCX bifurcation

7. LCX-3.0/18 mm stent balloon(2 atm) OM----F.B.2.5/18 mm(14 atm)

9. Key point Inflating another balloon to make exactly position of the stent

10. Clinical Follow Up The patient was OK in 1, 3, 6 month after PCI by telephone follow up Died of heart failure in 2010-03-05

11. Case 2 Male, 53 yrs Chest pain for 5 yrs, get worse for 2 days 2009-02-23 RF: HT 10 yrs, DM 1 yr PCI: primary PCI(2006-01-09):LAD F.B. 3.0/33 mm, AMI ( inferior ) Fasting Glu: 5.12 mmol/L, Lipid: normal DIA: OMI (inferior), UAP, NYHA 2 degree; HT, DM (type 2)

12. 2009-01-21 LCX-OM 2.5/14 mm Excel

13. 2009-03-19 RCA: AR1 7Fr,AL2 7 Fr

15. Taxus Liberte 3.5/24 mm, by two wires

18. Key point PCI for unusual position of the RCA

19. Clinical Follow Up No chest pain Refuse to check angiography because his wife suffer from cancer

20. Thank you for your attention ！