A 85 year old patient on hemodialysis, presented with acute coronary syndrome. Cath showed a totally occluded RCA. This is just a straight forward case being posted initially to test the website and ease of uploading videos.
Here is the left coronary showing a tight proximal LAD but not a culprit lesion.
View of left coronary showing a tihth proximal LAD lesion but not the culprit.
Anohter left coronary view showing collaterals to the RCA.
A large occluded RCA in the proximal portion with a possible clot.
RCA double sired with a High Torque Floppy wire and a Sion Black wire.
Lesion predilated and stent with a Synergy DES 4.5 x 28 mm stent and post dilated with a 5.0 x 15 non compliant baloon at nominal pressues. TIMI 3 flow achieved. Intracoronary nitroglycerin and intracoronary nitroprusside used. Patient remained stable throughout. Stent placement in the LAD is planned in 3 days.
GlobeMedic 