[HSF] Another Victory for the LAD Stent.....

[Nasser F. Abou'Seada]

may be you start by publishing it as a case record .......... scientifically


NFA

On Feb 8, 2008 4:01 PM, Ani Anyanwu <anianyanwu at hotmail.com> wrote:

> Michael
>
> What did you do with the patient?
>
> Today saw a lady to evaluate for LVAD - she had bare metal stents to RCA
> and LAD staged over two weeks in october 2007 (She did not have drug eluting
> stents because her insurance company wont pay for Plavix). At time of her
> angioplasty, her EF was 60%. She had an acute MI in December due to
> occlusion of her LAD stent and now is inotrope dependent with an EF of 15%.
> Cant have transplant because of severe peripheral vascular disease, carotid
> disease, age.
>
> I suppose a two vessel CABG could have prevented this state of affairs -
> who knows. How could we scientifically make this determination?
>
> Ani
>
>
>
>
> > Date: Fri, 8 Feb 2008 10:51:26 -0500> From: msfirst at gmail.com> To:
> OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] Another Victory for
> the LAD Stent.....> > All we know about this guy, we got from his driver's
> license.> > 59 year/old - called EMS from a local hotel with chest pain.> >
> Found in obvious respiratory distress with severe C.P.> Scooped and run to
> our ED - intubated in ED instantly, then taken to cath> lab...... very quick
> door to needle time.> > Cath - multiple LAD stents - occluded prox. unable
> to pass a wire> Circ - occluded, severe RCA disease> Has ICD> > tachycardic
> to 120-150's> mild hypotension> > echo in cath lab ----> almost dead heart.>
> > severe pulm edema, severe respiratory acidosis (ph: 6.9 pCO2=90 sats in>
> 70's)> given lasix, heparin, reopro> > we are called........> > > > I guess
> he has not read the recent studies..............> > > > -michael>
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