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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES

Case History :

A 72 year old male with history of hypertension and known CAD. He was admitted to the hospital with complaints of intermittent palpitation, especially on exertion for the last 2 weeks. After initial evaluation, he was referred for exercise-test myocardial perfusion imaging. He exercised for 8:40 minutes using modified Bruce protocol, HR increased from 78 to 116/minute, and BP increased from 160/90 to 190/100, but dropped to 130/70 at peak exercise. He complained of dizziness and palpitation on exercise. Required resuscitation with iv fluids because of hypotension Because of markedly abnormal and high risk exercise perfusion imaging study, he underwent cardiac cathetrization.

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Investigation Reports :

Click on the link below to view the Image/Movie and Description


Discussion :

In view of the past history of ectasia following a lesion, it would be prudent to just do a plain balloon angioplasty only. Because, if you put a stent in this situation, the stent wall would not be apposed to the endothelium of the ectatic segment. This would promote sub acute thrombosis of the stented site.
It is for this reason the stent graft was deemed fit for this lesion.
The stent graft restenosis is high when compared to plain stent done.


Courtesy:
Dr. Prasad Reddy
Mediciti Hospitals
Hyderabad.

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