Cath Conference

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.title[
# Cath Conference
]
.subtitle[
## UIC Cardiac Catheterization Lab
]
.author[
### Anish Sanjay Shah, MD<br><span style="font-size: 70%;">Cardiology Fellow<br>University of Illinois at Chicago</span>
]
.date[
### May 24, 2022
]

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# DH

69M h/o STEMI s/p PCI in 2009, PAD, HLD, HTN, DMT2, COPD  
Presented initially with UGIB in 01/2022, in ICU for massive GIB  
Initial Troponin = 1.1 at peak  
Has active mandibular osteomyelitis at this time

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# Four Months Later

Patient had outpatient EGD with stable ulcers  
Maintained on outpatient clopidogrel  
Presents again with GIB d/t NSAID use from jaw pain (chronic OM)  
Preoperative management consult

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## Findings

Distal LM to LAD 60%  
Mid to distal LAD 90%  
OM1 90%  
Proximal RCA 70%  
Mid RCA 80% ISR  
CTO of stent in PDA  
180˚ to 270˚ of calcium by IVUS

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# Current Status

Currently pending mandibulectomy (surgeon okay with DAPT during operation)  
Surgical turn down for CABG on initial evaluation  
GI has given "blessings" for DAPT therapy

## ...thoughts?