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Treatment of multi-vessel coronary artery disease in young patient using transradial
approach
Pejkov H, Kalpak O, Kostov J, Spirovski I, Antov S, Kedev S.
Laboratory for Interventional Cardiology, University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius, University,
Republic of Macedonia
I have nothing to disclose
PATIENT CHARACTERISTICS
General: AI, 34, Male
Presentation: chest pain during exertion
Hemodynamic/respiratory status: Stable
Risk factors for CAD: Hyperlipidemia, Smoker, DM
Life style: Sedentary
Psychological status: Normal
Past medical history: No
EET was performed and interrupted after 5 minutes due to chest pain and ST segment depression in V4-V6 of 2 mm.
Echocardiography showed normal kinetics of the left chamber with EF 65% and present mitral insufficiency of second degree.
34 y.o. male:
ChallengeChallenge
To show the benefit and safety of percutaneous coronary interventions in young patients with multi-vessel coronary disease using transradial
approach
Pharmacological treatment: ASA/Clopidogrel preloadUFH- 10000 IU
Strategy:- Guide catheter (EBU 3,5 - 6F size,RJ3.5-6 F size, right radial access)- Wires (one CTO wire to LAD and BMW in Diag, one CTO wire in OM , BMW wire to RCA)
-Stenting ( DES 3.0/38mm LAD, DES 3.0/30mm OM, DES 2.5/19 RCA)-Postdilatation: (NC balloon)
Conclusion
Transradial approach is safe and beneficial by complex coronary intervention when is performed by experienced transradial operator