Coronary Arterial Diagram

‫البروفيسور ( م ) يونس دار عموري‬ ‫رئيس القسم‬ ‫قسم القلب و القسطرة‬ ‫القسم‬
Cath # 23-16528 Sex F Age 88yo
Pt. Name ‫امنه‬
Hosp # 2006732 Date 29.12.2023
Lidocaine 2% 2cc Sub-q Contrast Type: Iomerone 350
Medication Heparin 5000-unit Intra-arterial
Contrast Amount: 60cc
Isosorbid Dinitrate 200mcg Intra-arterial

Radiation Dose / Time Clinical Data

Acute pulmonary edema, IHD, Status post
CABG on 2008 at AL - Arabi specialized
Gy.cm2 / 10.1mins 73.5
Coronary hospital, chest pain, positive troponin,
NSTEMI
Vascular Access

LT Radial Artery
Arterial Aorta: 158/91
Hemodynamic

RT Radial Artery Diagram ---- :EDP --- :LV

RT Femoral Artery Catheters

JL3.5 5F, JR4 5F,AL1 5F
LT Femoral

Left Coronary
LM .Mild stenosis proximally, sever stenosis distally
LAD Chronic total occlusion (CTO) in the ostial segment.
Significant ostial stenosis, significant stenosis at bifurcation with OM1 in the mid
LCX
segment.

RCA
Dominant, Chronic total occlusion (CTO) in the proximal segment.

MRF-00/19 R0
 CABG
LIMA: Not Used.
SVG to OM1: Occluded.
SVG to RCA: Occluded.

Recommendations
Heart team discussion.
Heparin infusion pump as per protocol.
TR Band Management for Lt. Radial Access as per protocol.
Risk factors modification.
Echocardiography.
Cardiology follow up.

MRF-00/19 R0
 CORONARY ARTERY DISEASE
LCS RCA

LIMA SVG to OM1

SVG to RCA

MRF-00/19 R0