Video : Polyvascular patient Complex coronary angioplasty and stenting after bilateral carotid artery stenting

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DESCRIPTION
Equipment used

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

Xenetix™ / Guerbet

Contrast medium

1 comment

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venkatesa reddy D. very well educated

2017-10-25, 3h01
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Polyvascular patient Complex coronary angioplasty and stenting after bilateral carotid artery stenting

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

Contrast Agent Protocol

Use of 180ml of Xenetix 300 as a contrast agent

Patient history

Atherosclerotic lesions sites

Previous endovascular procedures

Planned procedure

Learning Points

Max Amor

Julien Lemoine

Xenetix™ / Guerbet

Join the Discussion

Suggestions

Polyvascular patient Complex coronary angioplasty and stenting after bilateral carotid artery stenting

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

Contrast Agent Protocol

Use of 180ml of Xenetix 300 as a contrast agent

Patient history

Atherosclerotic lesions sites

Previous endovascular procedures

Planned procedure

Learning Points

Max Amor

Julien Lemoine

Xenetix™ / Guerbet

Join the Discussion

Suggestions

Approche francophone des lésions périphériques complexes