一例多支病变心绞痛患者的处理思考

History
59y M
Exertion chest pain half year, aggravation 2w
EHT(-), DM(-)
2.26mmol/l
LDL-C 4.0mmol/l
cTnI(-)
Hepatic function (-)
Renal function(-)




Diagnosis:
Coronary heart disease
Unstable angina
NYHA Ⅱ
 
CAG
 
Let FFR say
 
PCI
 
FFR
 
Two stents:XB, Runthrough,2.5×20mm@10-12 atm
 
First stent:2.75×23mm@12 atm Mini-cullotte
 
Cordis 3.5×15mm NC balloon
 
Cordis NC 3.0×15mm & 3.5×15mm kissing
 
3.5×33mm firebird2
 
Rewire from the distant well
 
Post dilation and Final kissing
 
Final results of LAD

 
Personal Experience:
  PCI with FFR guiding will achieve perfect results, especially when we are tangling with the case.
  The treatment of DK-cullotte on bifurcation lesion can be also a wise selection in some patient.
  Large cavity XB guiding catheter is convenient to be used during a bifurcation lesion treatment.


    2017/3/23 13:21:05     访问数:902
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