Cath Conference

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# 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>
### November 09, 2021

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# Case 1

68M h/o HTN, DM  
p/w anterior STEMI to SAH, +COVID

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.pull-left[
### Access
Right radial artery  
5F JR4 diagnostic  
6F XB 3.5 guide  
Right femoral artery

### Intervention
Impella placement d/t LVEDP/CO  
Sion blue into dLAD and D1  
IVUS to identify calcium  
Sequential dilation with Takeru balloons  
Rotational atherectomy  
Stents placed  
]

.pull-right[
### Outcomes
- 2.5 x 38 mm Resolute Onyx dLAD
- 3.0 x 38 mm Resolute Onyx mLAD
- 3.5 x 26 mm Resolute Onyx pLAD
- TIMI-1 / no-reflow of LAD
- Impella removal d/t hematoma/movement 
- Perclose x3 + angioseal  
]