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>
### December 07, 2021

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# Case RG

- 64F h/o DM, ESRD
- p/w HTN urgency/emergency
- ACS/NSTEMI c/s for coronary angiography

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.pull-left[
#### Access
- 5F right radial 
- 5F Tiger diagnostic

#### Interventions
- No interventions
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.pull-right[
#### Outcomes
- 80% proximal LAD
- 60% proximal LCX
- 70% proximal RCA
- CABG evaluation
]

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# Case DG

- 63M h/o CAD s/p PCI to RCA, ICM (EF 10%), SQ-ICD, ESRD
- p/w pre-transplant eval (LHC/RHC)

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.pull-left[
#### Access
- 5F right radial
- 5F Jacky

#### Interventions
- IVUS
- FFR
]

.pull-right[
#### Outcomes
- CTO of LCX
- 90% distal RCA
- FFR positive of LM
- Staged protected PCI
]

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# Case RB

- 47M h/o CAD s/p PCI in 2016, PVD, prior CVA, DM, HTN
- p/w staged PCI and potential revascularization of RCA CTO

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.pull-left[
#### Access
- 6F right radial
- 6F RCFA (antegrade) 
- JR4 and JL3.5 diagnostic
- 4F MP1 for peripherals

#### Interventions
- DSE of LE
- Wire escalation of CTO (Glidewire, Asahi, Corsair, Confianza, Turnpike LP, Astato)
- Spider filter wire
- Directional atherectomy (Hawk One)
- DCB
]

.pull-right[
#### Outcomes
- Historical revascularization of RCA CTO
- Successful atherectomy
- 6.0 x 12 mm DCB 
]