Complication corner #2
{"name":"Complication corner #2", "url":"https://www.quiz-maker.com/QCKDBPW","txt":"Case information 68 year old female patient Medical background: Risk factors: Hypertension, Dyslipidemia, Type 2 Diabetes Mellitus, family history of early onset coronary artery disease Presented with recent Acute Coronary Syndrome Medications: ASA 100 mg, Clopidogrel 75 mg, Bisoprolol 5 mg, Atorvastatin 40 mg, Ranexa 375mg x2, Metformin 850 mg, Glimepiride 4 mg In hospital investigations ECG: SR, slow R-wave progression V2-V6 ECHO: LVEF 45% Coronary angiography LAD 90% focal stenosis , bridge mid LAD RCA CTO, CC2 septal collaterals Refused CABG, referred for PCI What would your next step be?, A decision to treat CTO RCA first and if fail refer for surgery was taken: No contralateral injection was performed. Antegrade wire escalation technique using GAIA second Balloon dilatation using 2.5X30 mm semi-compliant balloon Injection following balloon dilatation revealed coronary perforation type ELLIS III Patient immediately developed cardiac tamponade What would your next step be?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
