class: center, middle, inverse, title-slide .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[ ### November 23, 2021 ] --- class: center, middle, inverse # Case PW 77M h/o HTN, DVT s/p IVC filter p/w RMCA CVA and elevated troponin ECG = anterior STEMI pattern Troponin = 18 --- .pull-left[ #### Access Right CFA, 6F brite tip RCA with 5F JR-4 LCA with EBU 4.0 guide (and guideliner) #### Interventions OCT of LAD Pre-dilation with 2.5 SC balloon PCI to mLAD x2 Post-dilation Perclose ] .pull-right[ #### Outcomes - DES x 2 (2.5 x 38, 3.0 x 12) overlapping - Ticagrelor / IV cangrelor - ASA desensitization ] --- background-image: url("pw-01-femoral.gif") background-size: contain --- background-image: url("pw-02-rca.gif") background-size: contain --- background-image: url("pw-03-lca.gif") background-size: contain --- background-image: url("pw-04-lad-wire.gif") background-size: contain --- background-image: url("pw-05-stent-positioning.gif") background-size: contain --- background-image: url("pw-06-pre-balloon.gif") background-size: contain --- background-image: url("pw-07-stent-placed.gif") background-size: contain --- background-image: url("pw-08-post-dilation.gif") background-size: contain --- background-image: url("pw-09-second-stent.gif") background-size: contain --- background-image: url("pw-10-post-balloon.gif") background-size: contain --- background-image: url("pw-11-final.gif") background-size: contain --- class: center, middle, inverse # Case SG 65M h/o CAD, PAD p/w claudication, exertional limitations --- .pull-left[ #### Access Left RA, 5F sheath Left CFA, 6F sheath 5F pigtail CXI 4F microcatheter #### Interventions Bilateral aorto-iliac angiography Bilateral ileo-femoral angiography Pre-dilation of left iliac artery BMS placement Post-dilation to match size Manual pressure closure ] .pull-right[ #### Outcomes - BMS 8.0 x 40 mm self-expanding - DAPT x 1 month ] --- background-image: url("sg-01.gif") background-size: contain --- background-image: url("sg-02.gif") background-size: contain --- background-image: url("sg-03.gif") background-size: contain --- background-image: url("sg-04.gif") background-size: contain --- background-image: url("sg-05.gif") background-size: contain --- background-image: url("sg-06.gif") background-size: contain --- background-image: url("sg-07.gif") background-size: contain --- background-image: url("sg-08.gif") background-size: contain --- background-image: url("sg-09.gif") background-size: contain --- background-image: url("sg-10.gif") background-size: contain --- background-image: url("sg-11.gif") background-size: contain --- background-image: url("sg-12.gif") background-size: contain --- background-image: url("sg-13.gif") background-size: contain --- background-image: url("sg-14.gif") background-size: contain