PCI Planning, Stents, CABG

Manoefris Kasim, MD

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

39

!CASE'4):))Mr.)DR/)64)

! Previous)PCI)stented)at)distal)RCA)! Chest&Pain&within&the&last&3&months&! Stress)MRI)Perfusion):)showed)Inducible)ischemia)at)Septal)()LAD)territory))! Then)Underwent)MSCT)and)showed)the)stent)was)patent,)and)new)Stenoses)at)mid)LAD)80%

Working Group of Cardiovascular Imaging

40

Post%Revascularization%%PCI%/%CABG

Working Group of Cardiovascular Imaging

41

MRI&Perfusion&:

Working Group of Cardiovascular Imaging

42

MSCT&

Working Group of Cardiovascular Imaging

43

MSCT&

Working Group of Cardiovascular Imaging

44

Should we treat the patient with Stenting in the mid LAD ?

Working Group of Cardiovascular Imaging

45

MRI&Perfusion&:&2&months&after&treatment&w/&oral&lytic&agent>&TROMBOLES&3&x&2&caps

Working Group of Cardiovascular Imaging

46

Improved Perfusion in LAD territory After 2-mo treatment w/ TROMBOLES 3x 2 Caps

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging

Working Group of Cardiovascular Imaging