症　例　集症　例　集

Case 1 71 y.o. male Target Lesion: prox. LAD

Diagnosis: AP (CCS-1)

Prior intervention: ‘13.11.05 Endeavor 3.0*18mm (#1)

Cronary Risk Factor: HL, ex. smoker

eGFR : 73.9 ml/min/m^2

UCG Findings: ‘13.10.16 EF=61.3% (almost normal)

Final CAG Findings: ’13.11.05 LVG: Not done CAG: (prox.RCA 99%), prox. LAD 75%

PICASSO @GHC Dec.07, 2013

Case 1 71 y.o. male Target Lesion: prox. LAD

PICASSO @GHC Dec.07, 2013

Diagnosis: AP (CCS-1), PAD

Prior intervention: ’08.05.07 Cypher (#3-4AV) ’08.05.08 Cypher (#6-7, #11) ’08.05.21 SMART (LSFA dist.) ’13.11.26 SMART 7.0*120mm (LSFA mid.) POBA (LATA)

Coronary Risk Factor: DM, CRF on HD

Final Finding UCG: ‘13.11.07 EF=56% (mild diffuse hypokinesis)

Case 2 66 y.o. male Target Lesion: mid RCA(focal lesion)

Final CAG Findings: ’13.11.26 LVG: Not done CAG: prox.-mid RCA 50%, dist. RCA 90%, AV 50%, PD 90%, LMT 75%, ost. LAD 90%, prox.-mid LAD 50-75%, D1 75%, D2 75%, ost.LCX 50-75%, midLCX 90%, dist. LCX 90%, OM 90%

PICASSO @GHC Dec.07, 2013

Cypher

other Hp.

Case 3 68 y.o. male Target Lesion: mid LAD (tandem&bifurcation lesion) Diagnosis: AP (CCS-1), OMI

Prior intervention: ’13.08.21 Endeavor 3.0*30mm (#3, RMI) ’12.08.29 Endeavor2.5*30mm(#13-15) Coronary Risk Factor: HT, HL, CKD(stage-3A)

eGFR : 47.8 ml/min/m^2

Final UCG Findings: ’13.08.26 EF=52%(Inferior Hypokinesis)

Final CAG Findings: ’13.08.20 LVG: not done CAG: prox. RCA dist. 50%, AV 50%, PD 50%, prox. LAD 50% mid LAD 75%, (mid LCX 99%, dist. LCX 75%)

PICASSO @GHC Dec.07, 2013

Case 4 80 y.o. male Target Lesion: LAD (calc.&diffuse lesion) Diagnosis: AP (CCS-1)

Prior intervention: ’13.11.14 Endeavor2.5*8mm (#13, CTO) ’13.11.14 Endeavor3.0*24mm (#2)

Cronary Risk Factor: DM, HT

eGFR : 65.5 ml/min/m^2

UCG Findings: ’13.11.13 EF=43% (ant-sep. severe hypokinesis) Final CAG Findings: ’13.11.14 LVG: Not done CAG: (mid RCA 90%), dist. RCA 50%, PD 75%, LMT 50%, prox.-mid LAD 50-75%, D1 75%, HL 75%, (LCX total)

PICASSO @GHC Dec.07, 2013

‘13.11.14 pre PCI to LCX

Case 4 80 y.o. male Target Lesion: LAD (calc.&diffuse lesion)

PICASSO @GHC Dec.07, 2013

Case 5 76 y.o. male Target Lesion: prox.RCA(CTO, In stent occlusion)

Final CAG Findings: ’12.11.26 LVG: Not done CAG: prox.RCA 75%, mid RCA total, LMT-prox.LAD 50%, mid

LAD 50%, D1 50%, D2 99%, prox. LCX 75%

Integrity 3.0*18

Integrity 3.0*26

Diagnosis: OMI (inferior)

Prior intervention: ’12.04.04 Integrity 3.0*18mm (#1)

Integrity 3.0*26mm (#2, AMI) ’12.04.14 Endeavor 3.0*30+2.5*18mm (#6-7) ’13.02.21 NSE 3.0mm (#1 ISR, #2 ISR)

Conary Risk Factor: DM, HT, CKD(stage3B), ex smoker

eGFR : 41.7 ml/min/m^2

Final Finding UCG: ‘13.11.28 EF=50% (inf. hypokinesis)

PICASSO @GHC Dec.07, 2013

Case 6 76 y.o. male Target Lesion: RCA(ISR+)

Final CAG Findings: ’13.11.12 (other HP) LVG: Not done CAG: prox.RCA 75%, mid RCA 75%, dist.RCA 90%, PD 90%, LMT 90%

prox. LAD 75%, dist. LAD 75%, prox. LCX 75%, OM75%

Diagnosis: OMI (AS), mildAS

Prior intervention: Stent (#6, AMI) Stent (#1) Stent (#2)

Coronary Risk Factor: DM, HT, HL, ex smoker

eGFR : 81.4 ml/min/m^2

Final Finding UCG: ‘13.11.28 EF=57% (almost normal), AVA=0.98(peak PG=30mmHg)

PICASSO @GHC Dec.07, 2013

詳細不明 stent

Case 7 36 y.o. male Target Lesion: LCX (bifurcation)

Final CAG Findings: ’13.12.03 LVG: Not done CAG: prox.RCA 50%, mid RCA 50%, (dist.RCA 90%), prox.LAD 50%, D1 50%, HL 90%, prox.LCX 75%, OM-1 90%, OM-2 total

Diagnosis: AP, OMI Prior intervention:

’13.09.03 Endeavor3.5*15+3.5*30+3.5*30 (#2-3, CTO) ’13.12.03 POBA (#3, ISR)

Coronary Risk Factor:

HT, HL, CRF on HD

PICASSO @GHC Dec.07, 2013