Weekly Statement Of Invasive procedures Department of Cardiology (NICVD) From11.04.12 to 17.04.

12

Presenter
Dr.Md.Mamunuzzaman
MD (3rd Part) Student Cardiology Unit O4

Unit CAG
01 02 03 04 05 06 07 08 09 10 01 05 03 09 10 13 12

PRI PCI

PCI

PAG

PTMC TPM PPM

03 01 03 01 03

P.Stent EPS

C.CATH

D.CLOS URE

TOTAL
17 03

1 02 03 03 01 04

03 01 05 03 -

01 01

13 07 12 19 15 16

10

09

02

01

01

13

WEEKLY STATEMENT OF INVASIVE PROCEDURE

Unit CAG
11 07

PRI PCI

PCI

PAG

PTMC TPM PPM

-

P.Stent EPS

C.CATH

D.CLOS URE

TOTAL
16

03

06

12
PCU-1 PCU- 2 TOTAL

15

07

03 10

22
03 10 165

94

25

19

09

03

02

13

DIFFERENT INVASIVE PROCEDURE

COMPARISON BETWEEN PCI & CAG

PCI TO DIFFERENT CORONARY ARTERY

18 16 16 14

13

12
10 8 6 4 2 0 LAD RCA LCX 0M1

5
3

NO OF STENTED VESSEL IN A PATIENT

TYPES OF STENTS USED

COMPARISON OF DIFFERENT DEVICES

COMPLICATION

PCI PERFORMED IN LAST WEEK

ROUTINE PCI

DATE

NAME &

AGE

UNIT

STENTED VESSEL RCA

STENT

OUTCOME

11-04-12

MR.FOYEZ AHMED 55 YRS MR. SURUZ MIA 57 YRS MR.MOFIZUL ISLAM 60 YRS MR. ABUL HASEM 60 YRS MR.ABDUR RAHIM 60 YRS MR. SAKHAWAT 50 YRS MR. SOYEB 45 YRS

CC

Uneventful

11-04-12

RCA OM RCA,LCX, LAD LAD,LAD, RCA,LCX RCA

CC,CC CC CC,CC DES DES,CC ,CC,BM S CC

Uneventful

12-04-12

12

Uneventful

12-04-12

12

Uneventful

12-04-12

12

Uneventful

12-04-12

12

RCA, LAD LAD,RCA, LCX

CC CC DES,CC CC

Uneventful

12-04-12

12

Uneventful

DATE 12-04-12

NAME & MR.JOYNAL AHMED 55 YRS MR.ABDUR RAZZAK 70 YRS MR.ABDUR RAHIM 45 YRS

AGE

UNIT 12

STENTED VESSEL RCA

STENT CC

OUTCOME Uneventful

12-04-12

11

LAD CC

Uneventful

12-04-12

11

RCA

CC

Uneventful

12-04-12

MRS.SUFIA KHATUN 55 YRS. MR.NAYEB ALI 50 YRS

11

RCA CC

Uneventful

15-04-12

08

RCA

BMS

Uneventful

16-04-12

MR. SAMIM 38 YRS

MR.BABUL ALI 54 YRS

09

LAD

CC

Uneventful

16-04-12

LAD

DES

Uneventful

DATE

NAME &

AGE

UNIT

STENTED VESSEL LAD,LAD,RCA LAD,LAD

STENT

OUTCOME

16-04-12 16-04-12

MR.SHAFIQUL ISLAM,45 YRS MRS. PORI BANU 65 YRS MR. BOKUL SARKAR MRS.MAJEDA BEGUM,60 YRS MR. ATAUR RAHMAN 48 YRS MR. OSMAN GANI 65 YR MR. ANOWARUL HAQUE 45 YR.S

9 9

DES,CC,CC CC,BMS

Uneventful Uneventful

16-04-12

LAD

CC

Uneventful

16-04-12

RCA,RCA,OM 1 LAD,LCX

CC,CC,CC

Uneventful

16-04-12

CC,CC

Uneventful

17-04-12

LAD

CC

Uneventful

17-04-12

LAD,OM 1

CC,CC

Uneventful

DATE

NAME &

AGE

UNIT

STENTED VESSEL LAD

STENT

OUTCOME

17-04-12

MR.BENIUM HAQUE 38 YRS MR. MINTU SHEIKH 50 YRS MR.JAHANGIR HOSSAIN 50 YRS. MR. SAIFUR RAHMAN 45 YRS

10

CC

Uneventful

17-04-12

10

LAD

CC

Uneventful

17-04-12

LAD

CC

Uneventful

17-04-12

LEFT MAIN LCX

CC CC

Uneventful

DEVICE CLOSURE
DATE 11-04-12 NAME TAMIM RAHMAN,5 YRS MOUSAMI,25 YRS ROWSON ARA,15 YRS NAHIDA ,8 YRS NAFISA,4 YRS TAHSIN,10 MONTHS MUKTA,10 YRS P.UNIT 02 PROCEDURE ASD Device OUTCOME uneventful

11-04-12

01

ASD Device

uneventful

11-0 4-12

01

ASD Device

uneventful

12-04-12 12-04-12 12-04-12

02 02 02

PDA Device ASD Device PDA Device

uneventful uneventful uneventful

12-04-12

02

PDA Device with uneventful pulmonary valvuloplasty

DEVICE CLOSURE
12-04-12 MORIUM,3 YRS 01 PDA Device uneventful

13-04-12

AWAL,14 YRS

01

Pulmonary valvuloplasty PDA Coil

uneventful

13-04-12

QAMRUL 02 ISLAM,17 YRS BOBITA,7 YRS 02

uneventful

14-04-12

ASD Device

uneventful

14-04-12
14-04-12

NAHIAN,2 Y 4 M
JUI,1 Y 6 M

01
02

PDA Device
PDA Device

uneventful
uneventful

CT- ANGIOGRAM
TOTAL : 02
CT - Coronary Angiogram : 2

CASE :

Mr. Taibur Rahman of 67years, hypertensive,non diabetic,non smoker was admitted to KMCH on 26.03.2012 and diagnosed as AMI(Anterior) and was treated conservatively. Thereafter, he was referred to NICVD for further evaluation and better management and admitted in NICVD on 04.04.2012.

ON EXAMINATION
Pulse - 80 beats/min Blood Pressure 150/80 mmHg Respiratory rate 14/min Urinary output - normal Precordium NAD Lungs Clear

Coronary angiogram of this patient was done on 08.04.2012 .

Angiographic details: LMCA: Short,normal LAD: Around 80-90% proximal stenosis involving the origin of D1.Mid part of LAD also stenosed(5060%) involving the origin of D2 LCX: Normal RCA: Proximal mild disease. Around 60% stenosis in long segment involving mid and distal part. Around 60% stenosis at the origin of PDA.

Diagnosis: Double vessel disease Peculiarities: 1.Serial lesion in LAD 2.Two lesions involving the origin of two diagonal arteries . 3.RCA is stenosed as well as having ectatic segment.

Recommendation: