Cath Conference

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# Cath Conference
## UIC Cardiac Catheterization Lab
### Anish Sanjay Shah, MD<br><span style="font-size: 70%;">Cardiology Fellow<br>University of Illinois at Chicago</span>
### June 1, 2021

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# Case 1

36M h/o seizure d/o on carbamazepine  
p/w seizure activity and then lost pulse   
Code: PVT followed by VF, with 12 rounds of CPR and defibrillation x3  
Labs: Tn peaked at 34

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### Access
Left radial 6F  
5F Jacky Radial
5F JL-4

### Interventions
None
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### Outcomes
No obstructive CAD  
Can myocardial bridging lead to PVT/VF?
Is there a channelopathy that causes both seizures and VF?
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# Case 2

68F h/o pancreatic CA on CTX  
p/w typical cardiac chest pain  
ECG = anterior STEMI pattern  
TTE = bedside shows apical and anterolateral wall hypokinesis

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### Access
Right radial 6F  
5F Jacky Radial
6F XB 3.5 Guide

### Interventions
Wire escalation from BMW to Pilot  
Sequential angioplasty of lesion (initial 2.0 balloon)  
Resolute Onyx 3.0 x 18 mm with TIMI-3 flow return  
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### Outcomes
Single culprit lesion of proximal LAD
Peak troponin after of ~410  
Cangrelor/ticagrelor for initial post-PCI AP agents
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# Case 3

79M h/o HTN, DM, no prior CAD  
p/w substernal pressure and nausea/vomiting x 10 hours  
ECG = RBBB pattern with lateral STEMI

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### Access
Right radial 6F  
5F Jacky Radial
6F XB 3.5 Guide

### Interventions
BMW to cross lesion  
Angioplasty with 2.5 x 12 mm 
Synergy 2.75 x 32 mm between D1 and D2  
Post-dilation with 2.75 x 15 mm
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### Outcomes
Multi-vessel disease (RCA, distal LAD)
Peak troponin after > 440  
Cangrelor/ticagrelor for initial post-PCI AP agents
Staged PCI of right-side  
Not surgical candidate d/t anatomy/targets  
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