81/f with svg to lad, pda, om1 and om2 in 1990 hypertension, hypercholesterolemia, hypothyroid
DESCRIPTION
Little old lady with little old vein grafts: History. 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990 Hypertension, Hypercholesterolemia, hypothyroid Preop workup for cholecystectomy showed positive Nuclear test with reversible ischemia in postlat wall. - PowerPoint PPT PresentationTRANSCRIPT
• 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990• Hypertension, Hypercholesterolemia, hypothyroid• Preop workup for cholecystectomy showed positive
Nuclear test with reversible ischemia in postlat wall.• Cath shows 70% lesion in SVG to OM1 and 100% in
SVG to OM2. • Post op had one episode of chest pain – repeat nuclear
Study same as before – for cath.
Eugene Wu, Brigham and Women’s Hospital
Little old lady with little old vein grafts: History
SCAI C3 Summit Chicago May 12-13, 2006
• Don’t panic, keep calm.• Inflate balloon to stop further bleeding. • Wait out/ reverse anticoagulation.• Prolong balloon inflations. • Covered stents.• Beware of little old ladies with little old vein grafts –
they might explode.
Eugene Wu, Brigham and Women’s Hospital
Little old lady with little old vein grafts : Take Home Points
SCAI C3 Summit Chicago May 12-13, 2006