HIGH BLEEDING RISK AND CTO PATIENT - Concept Medical

HIGH BLEEDING RISK AND CTO PATIENT

  • 74-year-old gentleman admitted for ACS-NSTEMI
  • ST-segment down in V2-V4
  • Increase in Tn and CK-MB
  • Scheduled for urgent coronagraphy
  • Hb was 7.5 g/dl, with small erythrocytes (volume 72)
  • He received a blood transfusion and underwent gastroscopy, which revealed an erosive gastropathy.
  • The patient was treated with PPI (Proton pump inhibitors) and 
  • After 3 days Hb stable (10.2 g/dl), underwent coronagraph
  • Only DCB-PCI with CTO recanalization by means of lesion preparation and 2.5/40 Magic Touch implementation.
  • The patient received only Clopidogrel, no ASA, due to the gastric erosive pathology.
  • Only DCB-PCI with CTO recanalization by means of lesion preparation and 2.5/40 Magic Touch implementation.
  • The patient received only Clopidogrel, no ASA, due to the gastric erosive pathology.
  • At 6-months Follow-up,

    • No thrombotic events
    • Total healing of the vessel
    • Lumen dimensions improvement

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