Video : Patient polyvasculaire avec 2 lesions coronaires et une lesion de l’artère fémorale commune droite

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Endovascular / Others / Case in the box

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Male, 51 years old
Cardiovascular risk factors: ex-smoker , HBP, dyslipidemia
Past medical History: 2004: inferior STEMI with Cardiac arrest, Distal RCA PCI
Current diagnosis:
- Exertional chest pain
- Right intermittent claudication Stage IIb.
TTE: LVEF 40% , inferior wall Akinesia
CMR: inferior wall viability
DUS:
- 30 % bilateral ostial common iliac arteries,
- 70 % Right common Femoral artery stenosis
Coronary angiography: two vessels disease, Syntax score :18
- 100 % Mid RCA JCTO 2 , 75% Mid LAD Stenosis, 75% 1st diagonal stenosis
Biological parameters: Hb: 13,7 gr/dl , Cr cl :102ml/min
Medication: aspirine, simvastatine, ramipril, bisoprolol, eplerenone

Protocol

Contrast medium: 220ml (OMNIPAQUE)
Procedural Time: 45min
Fluoroscopic Time: 12:33min
PSD Total: 114695mGycm2
Air Kerma: 1821.90 mGy

Shooting date : 2018-03-14
Last update : 2018-07-13