1、冠脉左主干病变介入治疗的陷阱- 附 1例报告郑州大学第一附属医院 心内科 邱春光12 Oct 2009 BeijingCASE REPORTClinical charactristicsn Male,65yn Chest pain for 2 weeksOMI half one year,BP110/70mmHgn Risk factor: LDL-C 3.2mMn ECG： V1-V2 QR wave； V3-V6 ST depression.n UCG: LVEF 56%n cTNT:(+)n Medication: Dual APT,LWMH, Atrovastatin,ACEI, -b
2、lockerCAG: RAO-Cran RAO-Cau LAO-Cau RCA 45Strategy:n CABG or PCI?n 1， CABGn 2， PCIOne stent (Stenting of main vessel alone, interventions of side branch) or two stent technique (Provisional T stent、 culotte、 crushing.)?n 1， One stentn 2， Two stent PCI procedures：n TR Approachn 7FXB 3.5n Wires: BMW、 Pilot50n Balloon: Sprinter 2.020mm、 Fire star 2.520mm、 NC Sprinter 4.09mmn Stent: Cypher 3.533mmn Medication during procedure: Dobutamine 5mm2， ICPCI: TR 7FXB3.5 BMW2Pilot50 Failed to LADBP110/70 60/50mmHgPCI: PTCA LM-LCX(sprinter2.020mm)Spider view After PTCA (fire-star 2.520mm)
