×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
Endovascular / Others / Case in the box
My Player placeholder

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Worldwide schedules comment Share

       Contrast Agent Protocol

           Use of 180ml of Xenetix 300 as a contrast agent

Patient history

•Female, 75 y.
•Risk factors : HBP
•Medical history : atrial fibrillation, asthma, hysterectomy, surgery for a colon cancer
•Biological parameters : mild renal dysfunction
•Discovery of multiple site atherosclerosis on follow up

Atherosclerotic lesions sites

•Coronary artery disease : yes
•Lower limbs artery disease : no
•Cerebrovascular disease : yes
•Renovascular disease : no

Previous endovascular procedures

•Angioplasty of the left internal carotid artery with a Wallstent (BS)
•Angioplasty of the right internal carotid artery using an ADAPT stent (BS)

Planned procedure

•DAPT, heparin 70 UI/kg during procedure
•Right radial 5 Fr. access
•Sheathless guiding catheter  7 Fr. (Asahi)
•Predilatation with  2.5*30 ballon of the LAD artery and implantation of DES
•Predilatation of the left main with a non compliant 3*20 balloon and implantation of  DES
•Kissing balloons (LAD and Circumflex) 

Learning Points

           •Management of patients with simultaneous or concomitant carotid and coronary artery lesions
           •Importance of regular follow-up to detect new atheromatous lesions in patients at risk
           •Treatment of bilateral carotid artery lesions by carotid stenting
           •Treatment of left main coronary artery stenosis by stenting and reconstruction of distal bifurcation (LAD – LCX)

 

Shooting date : 2014-12-16
Last update : 2021-06-09
Max Amor
Essey-lès-Nancy, France
Private message
Julien Lemoine
Essey-Lès-Nancy, France
Private message
Read more

Xenetix™ / Guerbet

Contrast medium
View more
1 comment
Join the Discussion
  • venkatesa reddy D.

    venkatesa reddy D. very well educated

    2017-10-25, 3h01
      Join files
      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    Suggestions

    There is no video available at the moment
    Scroll Up