class: center, middle, inverse, title-slide # Cath Conference ## JBVA Cardiac Catheterization Lab ### Anish Sanjay Shah, MD<br><span style="font-size: 70%;">Cardiology Fellow<br>University of Illinois at Chicago</span> ### September 28, 2021 --- class: center, middle, inverse # Case 1 69M h/o PAD, ESRD s/p LUE-AVF, MM, DM p/w left foot gangrene (recent amputation) c/s pre-op LHC for BKA DSE = severe apical hypokinesis --- background-image: url("c5912-rca.gif") background-size: contain --- background-image: url("c5912-rca-2.gif") background-size: contain --- background-image: url("c5912-lca-lao-caud.gif") background-size: contain --- background-image: url("c5912-lca-lao-caud-2.gif") background-size: contain --- background-image: url("c5912-lca-rao-caud.gif") background-size: contain --- background-image: url("c5912-lca-rao-ran.gif") background-size: contain --- .pull-left[ ### Access Right radial, 5F Terumo Tiger, 5F JL-3, 5F ### Interventions None ] .pull-right[ ### Outcomes - LM bifurcation disease, Medina 1,1,1 - LAD and LCX 70% at ostia - LM at 60% distal ] --- class: center, middle, inverse # Case 2 73M h/o h/o DM, HLD, HTN, prostate CA p/w atrial flutter, chest pain c/s troponin elevated to 1.2 --- background-image: url("b1770-rca.gif") background-size: contain --- background-image: url("b1770-lca.gif") background-size: contain --- background-image: url("b1770-balloon-rca.gif") background-size: contain --- background-image: url("b1770-positioning-stent.gif") background-size: contain --- background-image: url("b1770-distal-stent.gif") background-size: contain --- background-image: url("b1770-prox-stent.gif") background-size: contain --- background-image: url("b1770-balloon-overlap.gif") background-size: contain --- background-image: url("b1770-post-dil.gif") background-size: contain --- background-image: url("b1770-final.gif") background-size: contain --- .pull-left[ ### Access Right Radial, 6F JR-4, 5F JL-3.5, F5 XB 3.5 Guide, 5F ### Interventions IVUS Balloon 2.5 x 15 mm DES x 2 (3 x 38 mm, 4 x 38 mm) ] .pull-right[ ### Outcomes - RCA mid to distal disease, 80% stenosis - Jailing of RV marginal branch ] --- class: center, middle, inverse # Case 3 85M h/o melanoma on CTX (dabrafenib/trametinib), recurrent bladder cancer, HTN, hypothyroidism p/w fatigue, shortness of breath, DOE TTE = 55% to 20% with WMA within 3 weeks --- background-image: url("l2072-lao-caud.gif") background-size: contain --- background-image: url("l2072-lca-lao-cran-2.gif") background-size: contain --- background-image: url("l2072-lca-rao-caud-2.gif") background-size: contain --- background-image: url("l2072-lca-rao-cran-1.gif") background-size: contain --- background-image: url("l2072-rao-cran.gif") background-size: contain --- background-image: url("l2072-rca-lao-cran.gif") background-size: contain --- background-image: url("l2072-rao-caud.gif") background-size: contain --- background-image: url("l2072-rca-lao-cran-2.gif") background-size: contain --- .pull-left[ ### Access Right Radial, 6F JR-4, 5F JL-3.5, F5 ### Interventions None ] .pull-right[ ### Outcomes - Severely diseased proximal/distal RCA, 90% lesions - Aneurysmal lesion of pLAD into D1, Medina 1,1,1 ]