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PP-175 [AJC » Percutaneous coronary interventions] Foreign Body (angioplasty guide) in the Left Coronary Artery: Case Report
MARCH 23e26, 2017 Left internal mammilla and radial artery grafts are the preferred arterial grafts for coronary bypass (CABG) surgery. The aim of this study is to investigate the radial artery patency after angiography. Patients: Forty three patients admitted for left radial coronary angiography with non ischemic Allen tests. The opposite arm radial arteries were the control groups. Methods: Before the angiography, 24 hours after and at 8. week after coronary angiography the radial artery flow was imaged and recorded. The radial artery was scanned in the longitudinal section using an HDI 5000 Ultrasound Instrument (Philips Medical Systems, Bothell, WA) with a 5e12 MHz linear array transducer. One experienced sonographer collected all images. Images were digitized from the video output of the ultrasound machine using a frame grabber under control of custom software on a personal computer. Image acquisition was gated with an ECG signal so that images were captured at end diastole in each cardiac cycle. The patients were questioned for symptoms. Results: Ten (23%) patients had radial artery occlusion after coronary angiography. On uniivariate analysis (table I) there was no specific factor effecting the occlusion of the radial artery. All of the patients were asymptomatic at 8 weeks after occlusion. Conclusion: The asympthomatic ultrasound detected radial artery occlusion is high after coronary angiography. Keywords: Coronary angiography, Radial grafts, Radial artery patency Table I Patients (n: 43)
Figure 5.
P O S T E R A B S T R A C T S
- PP-175 [AJC » Percutaneous coronary interventions] Foreign Body (angioplasty guide) in the Left Coronary Artery: Case Report. Lakehal Redha, Boukarroucha Radouane, Bendjaballah Soumaya, Brahami Abdelmalek. Department of heart surgery, ehs el Riadh, Constantine, Algeria. Introduction: The aim of our work is to show that angioplasty is not harmless complication. Methods: We report the observation of a patient aged 66 years to history of myocardial infractus in 2006 programmed for interventricular artery angioplasty. This last was balanced by failure with rupture of the guide in the left coronary artery which the proximal tip is still floating in the aorta ascandante. He was operated under cardiopulmonary bypass exploration revealed a small interventricular artery non portable with a left intracoronary guide which proximal tip floats in the aorta after aortotomie. The last been removed. Results: The immediate postoperative course was simple. Conclusion: The breakdown of the angioplasty guide is a rare complication but serious. It can cause coronary damage that can cause death. The treatment can be done by surgery. Keywords: Foreign body, left coronary, cardiopulmonary bypass.
Age Sex, Female (n:16) Sex, Male (n:27) Hypertension (n:30) Diabetes (n:10) Hyperlipidemia (n:21) Renal Failure (n:3) Smoking (n: 21) PCI (n:4) Betablocker (n:13) ACE/ARB (n:23) Statin (n:13) Aspirin (n:17) Hemoglobin (gr/dl) Creatinin (mg/dl) LDL(mg/dl) HDL (mg/dl) AST (mg/dl) ALT (mg/dl)
Radial artery occlusion n:10 (23 %)
P
63,12,9 2 (12,5%) 8 (29,6 %) 8 (26,6%) 4 (40 %) 6 (28.,5 %) 1 (33 %) 7(33 %) 1 (25%) 4 (30%) 6 (26%) 4 (30%) 4 (23,5 %) 13,8 1,4 0,870,1 125 41 47 9 21 6 2012
0,148 0,276 0,276 0,696 0,205 0,487 0,557 0,162 0,557 0,458 0,727 0,458 0,999 0,6 0,8 0,7 0,8 0,8 0,4
The factors effecting radial artery patency after angiography PCI; percutaneous coronary intervention ACE; Angiotensin converting enzyme inhibitor ARB; Angiotensin receptor blocker LDL; Low-density lipoprotein cholesterol HDL;High-density lipoprotein cholesterol AST; Aspartate aminotransferase ALT; Alanine aminotransferase
- PP-178 [AJC » Preventive cardiology]
- PP-177 [AJC » Percutaneous coronary interventions]
Effect of Phase 2 Cardiac Rehabilitation Program on High-Sensitivity C-Reactive Protein Levels in PostPercutaneous Coronary Intervention Patients. Haydar Jaleel Mardan. Department of cardiology, Ain shams university, Cairo, Egypt.
The Effects of the Radial Coronary Angiography on the Radial Artery Patency. Alp Aydınalp, Emre Özçalık. Department of Cardiology Baskent University, Ankara, Turkey.
Purpose: To assess the effects of phase 2 cardiac rehabilitation program on hs-CRP levels in patients revascularized by percutaneous coronary intervention (PCI).
e84 The American Journal of Cardiologyâ MARCH 23e26, 2017 13th INTERNATIONAL CONGRESS OF UPDATE IN CARDIOLOGY AND CARDIOVASCULAR SURGERY ABSTRACTS / Poster
Figure 5.
P O S T E R A B S T R A C T S
- PP-175 [AJC » Percutaneous coronary interventions] Foreign Body (angioplasty guide) in the Left Coronary Artery: Case Report. Lakehal Redha, Boukarroucha Radouane, Bendjaballah Soumaya, Brahami Abdelmalek. Department of heart surgery, ehs el Riadh, Constantine, Algeria. Introduction: The aim of our work is to show that angioplasty is not harmless complication. Methods: We report the observation of a patient aged 66 years to history of myocardial infractus in 2006 programmed for interventricular artery angioplasty. This last was balanced by failure with rupture of the guide in the left coronary artery which the proximal tip is still floating in the aorta ascandante. He was operated under cardiopulmonary bypass exploration revealed a small interventricular artery non portable with a left intracoronary guide which proximal tip floats in the aorta after aortotomie. The last been removed. Results: The immediate postoperative course was simple. Conclusion: The breakdown of the angioplasty guide is a rare complication but serious. It can cause coronary damage that can cause death. The treatment can be done by surgery. Keywords: Foreign body, left coronary, cardiopulmonary bypass.
Age Sex, Female (n:16) Sex, Male (n:27) Hypertension (n:30) Diabetes (n:10) Hyperlipidemia (n:21) Renal Failure (n:3) Smoking (n: 21) PCI (n:4) Betablocker (n:13) ACE/ARB (n:23) Statin (n:13) Aspirin (n:17) Hemoglobin (gr/dl) Creatinin (mg/dl) LDL(mg/dl) HDL (mg/dl) AST (mg/dl) ALT (mg/dl)
Radial artery occlusion n:10 (23 %)
P
63,12,9 2 (12,5%) 8 (29,6 %) 8 (26,6%) 4 (40 %) 6 (28.,5 %) 1 (33 %) 7(33 %) 1 (25%) 4 (30%) 6 (26%) 4 (30%) 4 (23,5 %) 13,8 1,4 0,870,1 125 41 47 9 21 6 2012
0,148 0,276 0,276 0,696 0,205 0,487 0,557 0,162 0,557 0,458 0,727 0,458 0,999 0,6 0,8 0,7 0,8 0,8 0,4
The factors effecting radial artery patency after angiography PCI; percutaneous coronary intervention ACE; Angiotensin converting enzyme inhibitor ARB; Angiotensin receptor blocker LDL; Low-density lipoprotein cholesterol HDL;High-density lipoprotein cholesterol AST; Aspartate aminotransferase ALT; Alanine aminotransferase
- PP-178 [AJC » Preventive cardiology]
- PP-177 [AJC » Percutaneous coronary interventions]
Effect of Phase 2 Cardiac Rehabilitation Program on High-Sensitivity C-Reactive Protein Levels in PostPercutaneous Coronary Intervention Patients. Haydar Jaleel Mardan. Department of cardiology, Ain shams university, Cairo, Egypt.
The Effects of the Radial Coronary Angiography on the Radial Artery Patency. Alp Aydınalp, Emre Özçalık. Department of Cardiology Baskent University, Ankara, Turkey.
Purpose: To assess the effects of phase 2 cardiac rehabilitation program on hs-CRP levels in patients revascularized by percutaneous coronary intervention (PCI).
e84 The American Journal of Cardiologyâ MARCH 23e26, 2017 13th INTERNATIONAL CONGRESS OF UPDATE IN CARDIOLOGY AND CARDIOVASCULAR SURGERY ABSTRACTS / Poster