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PCI 并发症病例讨论

PCI 并发症病例讨论. 济源市第二人民医院 薛瑞璐 臧君仁 石小燕. 临床资料. 患者 女性 67 岁 劳力性心悸胸闷 3 年加重 1 月 高血压病史 10 年 CH5.22mmol/L TG1.67mmol/L LDL-C3.39mmol/L CREA89mmol/L UCG LVED45mm EF61% ECG 大致正常. ECG. 诊断. 1 冠心病 不稳定心绞痛 2 高血压病. 冠脉造影. 冠脉造影. 造影结论. LM+ 三支病变

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PCI 并发症病例讨论

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  1. PCI并发症病例讨论 济源市第二人民医院 薛瑞璐 臧君仁 石小燕

  2. 临床资料 • 患者 女性 67岁 • 劳力性心悸胸闷3年加重1月 • 高血压病史10年 • CH5.22mmol/L TG1.67mmol/L • LDL-C3.39mmol/L CREA89mmol/L • UCG LVED45mm EF61% • ECG 大致正常

  3. ECG

  4. 诊断 • 1 冠心病 不稳定心绞痛 • 2 高血压病

  5. 冠脉造影

  6. 冠脉造影

  7. 造影结论 • LM+三支病变 • 累及LAD LCX RCA

  8. Monorail Maverick2.0×20mmBalloonLAD12atm×10s扩张 D2 8atm×10s扩张

  9. FIREBIRD3.0×29mm STENT Balloon

  10. FIREBIRD3.0×29mm 12atm×10s扩张 STENT Balloon

  11. FIREBIRD3.0×29mm 12atm×10s扩张 STENT Balloon

  12. FIREBIRD3.0×29mm 12atm×10s扩张STENT

  13. QUANTUM Maverick3.0×15mm12atm×10s扩张

  14. LADo夹层

  15. FIREBIRD3.5×33mm12atm×10s扩张

  16. LM支架植入结果

  17. Monorail Maverick1.5×20mmBalloonMonorail Maverick2.0×20mmBalloon

  18. Monorail Maverick2.5×20mmBalloon

  19. FIREBIRD3.0×23mm STENT

  20. FIREBIRD3.0×18mm STENT

  21. QUANTUM Maverick3.5×12mmBalloonQUANTUM Maverick3.0×15mmBalloon

  22. 对吻扩张

  23. 最后造影结果

  24. 谢谢大家

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