alexa Innovative Management Of Acute Stent Recoil In The Left
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading
Loading Please wait..
 

36th Cardiovascular Nursing & Nurse Practitioners Meeting
July 10-11, 2017 Chicago, USA

Moustapha Diakite, Florian Rey, Fabio Rigamonti, Marco Roffi
University Hospital of Geneva, Switzerland
Posters & Accepted Abstracts: J Clin Exp Cardiolog
DOI: 10.4172/2155-9880-C1-075
Abstract
A 71 years old woman with known morbid obesity, dyslipidemia, diabetes and hypertension was admitted in emergency department with an acute respiratory distress, high blood pressure and high rate atrial fibrillation with left bundle block branch requiring defibrillation and orotracheal intubation. Serum level of high-sensitivity cardiac troponin and creatinin kinase were high. Echocardiography showed moderate decreased of left ventricle ejection fraction with severe anterior septo apical hypokinesia. After intubation and stabilization of the heamodynamic situation, the patient was admitted to the catheterization laboratory for coronary angiography and revascularization if it’s appropriate. Coronary angiography via right femoral artery showed two vessel diseases with a 90% lesion calcified of left main artery and 50-70% distal lesion of left anterior descending artery (Figure). During the intubation of left main artery, blood pressure dropped severely and impressive ECG modified (Figure) needed 2 mg intra-aortic adrenalin. Depending on heamodynamic compromise and the anatomy of coronary disease, percutaneous transluminal coronary angioplasty (PTCA) with implantation of drug eluting stent (DES) was decided. After the implantation of the DES (4.00x12mm) in the left main we proceeded post dilatation with noncompliant balloon (Pantera Leo 4.5x12 mm). The angiographic control with intravascular ultrasound (IVUS) (Figure) showed under deployment of the stent (recoil). We decided to use the high-pressure balloon (OPN 4.00x15mm) with persistence always of the proximal under deployment the stent. And then we decided to use the renal stent (Hippocampus 5.00x15mm) overlapped with the first stent and it was postdilatated with high-pressure balloon at 35 atm. And the second angiographic control with IVUS (Figure) showed successful deployment of the stent in the ostium of the left main artery. In this case, we think of an atherosclerotic disease of the aorta. This case demonstrates the management of stent recoil in a calcified left main is very complex. Using a renal stent can be a solution in this kind of situation when recoil persists after post dilatation with very high-pressure balloon.
Biography

Email: [email protected]

image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords