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Case summary

•83 year old male patient
•PMHx: CABG (1991): LIMA-OM1, SVG sequential to D1 + LAD; PVD; atrial fibrillation
•Presented with asymptomatic deterioration in LV function
•PCI to SVG-LAD (06/2016)
•EF: 36%, myocardium supplied by RCA viable
•Meds: Apixaban 2.5 mg 2x/d, clopidogrel
–Apixaban stopped 48h before PCI
–VerifyNow performed
–Loaded with aspirin IV

Strategy

•Femoral access 7Fr
•IVUS evaluation of the prox RCA (++calcified)
•Evaluation of distal RCA
•Probable PCI prox RCA +/- need for rotablation

 

Shooting date : 2016-07-08
Last update : 2021-05-21
2 comments
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  • Patricio N. nice teaching case

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
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    • wenliang X. Wonderful

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
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