Case summary
•85 year old male patient
•PMHx: PCI LCx (2005), DM type II, AF
•eGFR 26 ml/min
•Unstable angina
•Meds: Apixaban 2.5 mg 2x/d …
•Loaded up with Plavix, apixaban stopped 48h before PCI
•VerifyNow performed
Strategy
•Biplane lab
•6Fr access
“Functional revascularisation”
•PCI proximal LAD
•PCI LCx/OM1 bifurcation
–IVUS to identify position ‘old stent’
–1 stent or 2 stent technique
Shooting date : 2016-07-08
Last update : 2021-06-09
isa S. Hello
venkatesa reddy D. very well done