Description
Angioplasty with stent placement is a minimally invasive procedure used to open narrow or blocked arteries. This procedure is used in different parts of your body, depending on the location of the affected artery. It requires only a small incision. Angioplasty is a medical procedure in which your surgeon uses a tiny balloon to widen an artery. A stent is a tiny mesh tube that’s inserted into your artery and left there to prevent it from closing. Your doctor may recommend taking aspirin or antiplatelet drugs, such as clopidogrel (Plavix), to prevent clotting around the stent, or they may prescribe medications to help lower your cholesterol.
Résumé
- **Case 1: Superior Mesenteric Artery Stenting for Post-Prandial Angina**
- A 50-year-old male, a heavy smoker, presented with post-prandial abdominal pain and weight loss. Upper endoscopy revealed gastritis, but symptoms persisted despite treatment. CT angiography showed severe stenosis of the celiac trunk and complete occlusion of the superior mesenteric artery (SMA), which was being supplied retrogradely via collaterals.
- Angiography confirmed the CT findings. Multiple guidewire attempts failed to cross the SMA occlusion until a Gaia 3 wire successfully navigated the lesion. Subsequent balloon angioplasty was performed, gradually increasing balloon size, to restore flow in the SMA.
- A 7x37 mm balloon-expandable stent was deployed at the ostium of the SMA, ensuring proper positioning without protruding into the aorta or missing the lesion. Post-stenting angiography demonstrated excellent stent expansion and restored flow to the intestinal branches. The patient has been doing well for two years, able to eat without pain.
- **Case 2: Renal Artery Stenting After Traumatic Injury**
- A 24-year-old male presented with multiple injuries following a road traffic accident. CT abdomen revealed complete occlusion of the left renal artery with no kidney opacification. Given the time sensitivity, intervention was promptly pursued to salvage the kidney.
- Angiography confirmed the left renal artery occlusion. Guidewire passage was challenging but eventually successful. Balloon angioplasty was performed, restoring some flow; however, stenosis, persistent thrombus, and minor dissection remained.
- Due to the residual issues, a 4x24 mm coronary stent was deployed to maintain patency and address the dissection. Post-stenting angiography demonstrated improved flow to the kidney. The patient recovered well, creatinine levels stabilized, and he was discharged without complications, avoiding nephrectomy. The patient is doing well on follow-up.
Exemple de certificat
À propos des intervenants
Dr.Tushar kumar Bhatti
MBBS,DNB - MEDICINE, DNB-CARDIOLOGY CONSULTANT INTERVENTIONAL CARDIOLOGIST
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