Clinical Follow Up of

CIT 2009 Live Case

Shenyang Northern

Hospital

Wang Shouli Han Yalin

Case 1

Male, 68 yrs

Chest pain for 3 m, get worse for 5 days 2009-03-08

RF: HT 8 yrs, DM 8 yrs, cerebral infarc 8 yrs

ECG: ST v3-6 ↓, T v3-6 ↓

UCG: MI(mild), LA 50 mm, LV 52 mm, EF 84%,FS 0.46

Fasting Glu: 5.34 mmol/L,Lipid: normal

DIA:UAP,NYHA 2 degree; HT; DM (type 2)

Angiography(2009-01-09,other hospital):

pro-LAD 90%, pro-LCX 20%,dis-LCX 50%,

mid-RCA 70%

Refuse CABG！2009-03-19(CIT 2009):Triple vessel disease

Case 1

3.0/15mm Safecut F.B. 3.0/33 mm,3.5/18 mm

IVUS:MCD ： 1.70mm, MCSA:3.44 mm

68%3.0/15 mm

Safecut,F.B.3.0/18 mm,Excel 4.0/18 mm

LCX bifurcation

LCX-3.0/18 mm stent balloon(2 atm)OM----F.B.2.5/18 mm(14 atm)

Key point

Inflating another balloon

to make exactly position

of the stent

Clinical Follow Up

• The patient was OK in 1, 3, 6

month after PCI by telephone

follow up

• Died of heart failure in 2010-03-05

Case 2

• Male, 53 yrs• Chest pain for 5 yrs, get worse for 2 days

2009-02-23• RF: HT 10 yrs, DM 1 yr• PCI: primary PCI(2006-01-09):LAD F.B.

3.0/33 mm , AMI ( inferior ) • Fasting Glu: 5.12 mmol/L, Lipid: normal• DIA: OMI (inferior), UAP, NYHA 2 degree;

HT, DM (type 2)

2009-01-21 LCX-OM 2.5/14 mm Excel

2009-03-19 RCA: AR1 7Fr,AL2 7 Fr

Taxus Liberte 3.5/24 mm, by two wires

Taxus Liberte 3.5/24 mm, by two wires

Key point

PCI for unusual position

of the RCA

Clinical Follow Up

• No chest pain

• Refuse to check angiography

because his wife suffer from

cancer

Thank you for your attention！