采用心外膜侧支逆向法经皮冠状动脉介入治疗的慢性完全闭塞左前降支-英文课件.ppt
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1、Percutaneous coronary intervention of a left anterior descending chronic total occlusion using an epicardial collateral retrograde approach,Dr Patricia HT Hon Dr David CK Hu,CTO-LAD retrograde approach,59 yo male exertional angina March 07 Risk factors: hypertension, hyperlipidaemia, new onset Type
2、2 DM and smoking occasionally,CTO-LAD retrograde approach,CTA coronary angiogram: severe and extensive disease shown in RCA and LAD LV function satisfactory on echocardiogram,CTO-LAD retrograde approach,Diagnostic coronary angiogram March 07: CTO mid LAD, severe proximal disease, good collateral ret
3、rograde filling from RCA Severe disease distal LCX, sub-total occlusion (TIMI-2) 90% lesion mid RCA and 50% disease PDA,CTO-LAD retrograde approach,Management plan: PCI to RCA + surgical stand-by (high risk) Staged revascularisation to CTO-LAD and LCX either surgically or by PCI,CTO-LAD retrograde a
4、pproach,March07: mid RCA stented successfully (Xience V 3.5mm x 23mm),CTO-LAD retrograde approach,Exercise nuclear perfusion scan 3 weeks after stenting of mid RCA: No significant ischaemia in LAD territory. Frequent PACs noted during exercise Option of revascularization of LCX and CTO-LAD or conser
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- 关 键 词:
- 用心 外膜侧支 逆向 法经 冠状动脉 介入 治疗 慢性 完全 闭塞 左前降支 英文 课件
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