Coronary and Peripheral Case Work

Case 1: Acute MI( STEMI)Pt: 45 yr old Caucasian MaleSeveral Hrs of Severe Chest painPt: Husband of RN Current SmokerUncontrolled HyperlipidemiaLDL 141 HDL 30 TG 231

100% Stenosis of RCA

Total RCA

Angioplasty of the RCA

Balloon

Stent Deployment RCA

Stent

Temporary Pacemaker

Result within 60 min of arrival

Echo Confirms LV function +50%Pre Procedural STEMI

Flow Restored STEMI Resovled

Patient Discharged next DayLV Function preserved EF 50%+RX Statin, ARB, Plavix, Aspirin.Smoking Cessation counselingRX lifestyle Change

Case 2: Bilateral Iliac StenosisPT: 75 yr old FemaleChief Complaint : Severe Resting

ClaudicationRight Leg UlcerAbnormal ABISmoker 2+ packs/day 25yrsHyperlipidemiaHypertensionMetabolic Syndrome Lipid Profile

Pre Procedure finding

75% Stenosis

95% Stenosis

Intervention

Stent

Intervention

Stent

Result

Post CaseBrisk Flow through both Iliac ArteriesPt Discharged the next dayClaudication has subsided upon follow up.Ulcer has healedABI NormalReferring MD sent case report same Day

Case 3: Renal Artery StenosisPt 70 Yr old Mexican FemaleKnown CAD, PAD.History of refractory ISH SYS BP 180+HyperlipidemiaCreatinine 1.5

Renal Artery Stenosis

95% Stenosis L Renal Artery

Procedure

Procedure

Wire in Renal Artery

Stent Delivery System

Results

0% stenosis

Results

Post Procedure

Pt: Refractory hypertension resolved SYS BP 120

Pt discharged the next day.Referring MD called, and sent report

“It is my goal to provide the highest level of service to you and your patients.”

“I practice Evidence based medicine and will provide patients with all the options available to them.”

“I inform all patients of the risks and benefits associated with any procedure.”

“I provide a report for referring MDs in a timely fashion, and if possible I will call.”

“We appreciate you and your Patients! Thank you for referring!”

Arash Vahdat M.D.