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Gastrointestinal Ulcers and Skin Radiation Injures in One Patient Following PCI for CTO. Shenyang Northern Hospital Wang Shouli Han Yalin Wang Bin. CIT(2010) Beijing. Male , 58 yrs Chest pain for 6months 2007-08-20 RF : HT 、 DM 、 Smoking 、 Drinking ECG : T (Ⅱ 、 Ⅲ 、 avF) depressed - PowerPoint PPT Presentation
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Gastrointestinal Ulcers
and Skin Radiation Injures
in One Patient Following
PCI for CTO
Shenyang Northern
Hospital
Wang Shouli Han Yalin
Wang BinCIT(2010) Beijing
•Male , 58 yrs
•Chest pain for 6months 2007-08-20
•RF : HT 、 DM 、 Smoking 、 Drinking
•ECG : T (Ⅱ 、Ⅲ、 avF) depressed
•DIA : UAP 、 HT 、 DM
2007-08-23 pro-LCX 100%RCA→LCX
Why I use Pilot 150?
2008-01-07 (第二次术后近 3 个月)胃镜:十二指肠球部溃疡
第二次术后 60 天 第二次术后 90天
术后 13 个月( 08-12 )
2009-1-14
(2007-08-23)
皮瓣形成术后 10m 原皮肤坏死处局部仍不愈合
2009-10-21
(PCI 24m,surgery 10m )
Surgery again !
2010-03-29 Follow Up
summary (1)• It is available for some patient
to do CTO intervention by TRI approach
•bilateral angiography by TRI
•MSCT may help to open CTO
• “Double anchor technique” can improve the success rate for CTO
It is harmful for patient receiving several radiation and use fixed angle during PCI
This case did twice PCI and once MSCT check just in 54 days
The total fluro time was 1h 58m 30s and exposure time was 233.9 s during last time of PCI
summary (2)
谢 谢