Author + information
Patient initials or identifier number
Mr. B.S. Dhillon 55/Male
Diagnosis: Hypertension, Post PTCA of LCx (2007),
Acute Posterior wall MI.
Procedure: PTCA of LM-LAD & LM-LCx with Reverse Crush Technique.
Lesion: LM- Thrombotic cut off.
LCx- Proximal eccentric 70% bifurcation hazy stenosis with OM1.
Proceeding to total thrombotic occlusion.
Guide Catheter: 6F-XB 3.0
Guide Wire: Route & Galeo 0.014”
Balloon: Trek 2.5 x 12 mm, Mini Trek 2.0 x 12 mm, NC Trek 3.0 x 12 mm,
Pantera Leo 4.0 x 12, Arriva 3.0 x 10 mm, NC Arriva 3.0 x 15 mm.
Stent: Biomime 4.0 x 19 mm, Biomime 3.5 x 40 mm.
GpIIbIIIa/Anti thrombin: Tirofiban (Double Bolus) / Heparin (4500 units). (ACT = 248 sec)
Procedure: PTCA and stenting of LM-LAD & LM-LCx followed by
• Known case of hypertension.
• Admitted with complaints of left sided chest pain. Detected to have posterior wall MI. CK-MB raised 49IU/L.
• Echo revealed hypokinesia of basal posterior and akinesia of mid posterior segments, Moderate MR & LVEF 40%.
• CART done revealed double vessel disease. In view of CART findings he underwent PTCA of LM-LAD & LCx in the same sitting.
No residual stenosis in stented segments. TIMI –3/ TMP-3 flow in LAD & LCx.